Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $271.02 / $395.93	Professional		$177.23	$271.02	$395.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.95 / $237.83 / $473.99	Professional		$182.95	$237.83	$473.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $365.17 / $474.72 / $547.76	Facility		$365.17	$474.72	$547.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $474.72 / $876.41	Professional		$401.69	$474.72	$876.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $265.52 / $320.84	Professional		$177.01	$265.52	$320.84
United Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $177.05 / $223.64	Professional		$121.45	$177.05	$223.64