Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $177.73 / $262.93	Professional		$135.38	$177.73	$262.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $155.96 / $310.81	Professional		$119.97	$155.96	$310.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.46 / $311.30 / $359.19	Facility		$239.46	$311.30	$359.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.41 / $311.30 / $574.70	Professional		$263.41	$311.30	$574.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $174.10 / $210.38	Professional		$116.07	$174.10	$210.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $118.40 / $144.00	Professional		$79.64	$118.40	$144.00