Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $309.03 / $812.83	Facility		$77.62	$309.03	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $186.21	Professional		$56.23	$91.20	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $151.36	Professional		$77.62	$85.11	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $100.00	Professional		$47.86	$61.66	$100.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Professional		$87.10	$87.10	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $95.50	Facility		$54.95	$72.44	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $181.97	Professional		$79.43	$102.33	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $21,379.62	Facility		$72.44	$95.50	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $147.91	Professional		$61.66	$95.50	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $741.31	Facility		$269.15	$501.19	$741.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $151.36	Professional		$64.57	$95.50	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $131.83	Professional		$56.23	$87.10	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $125.89	Professional		$48.98	$79.43	$125.89