Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $59.64 / $96.48	Facility		$25.06	$59.64	$96.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.06 / $65.41	Professional		$16.60	$25.06	$65.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $34.46 / $55.44	Facility		$27.66	$34.46	$55.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.53 / $21.62	Professional		$2.49	$3.53	$21.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $40.72 / $733.13	Facility		$23.50	$40.72	$733.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $68.59 / $868.13	Professional		$32.79	$68.59	$868.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $32.25 / $121.45	Facility		$20.36	$32.25	$121.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $35.93 / $44.91	Professional		$20.36	$35.93	$44.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $32.25 / $121.45	Facility		$20.36	$32.25	$121.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $18.80 / $37.60	Professional		$13.16	$18.80	$37.60