Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,824.93 / $41,999.58 / $68,249.33	Facility		$6,824.93	$41,999.58	$68,249.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $57,749.43 / $74,999.25	Professional		$192.55	$57,749.43	$74,999.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $312.44 / $568.70	Facility		$142.80	$312.44	$568.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $21.00 / $52.50	Professional		$5.40	$21.00	$52.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $128.36 / $176.50	Professional		$112.31	$128.36	$176.50
United Facility/Professional Professional Modifier Low / Median / High Price $363.71 / $363.71 / $363.71	Professional		$363.71	$363.71	$363.71