Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $72.09 / $208.49	Facility		$38.50	$72.09	$208.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $118.95 / $229.74	Professional		$58.08	$118.95	$229.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $96.59 / $113.63	Professional		$81.84	$96.59	$113.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $294.00 / $351.00	Facility		$287.00	$294.00	$351.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $94.18 / $162.53	Professional		$71.09	$94.18	$162.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $53.11 / $97.19	Professional		$53.11	$53.11	$97.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.69 / $93.10 / $153.44	Facility		$39.69	$93.10	$153.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $100.85 / $169.77	Professional		$39.69	$100.85	$169.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $196.75 / $431.49	Facility		$140.24	$196.75	$431.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $172.35 / $309.08	Professional		$113.14	$172.35	$309.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $51.17 / $176.70	Facility		$22.02	$51.17	$176.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $170.78 / $309.77	Professional		$110.82	$170.78	$309.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $153.12 / $259.20	Professional		$121.22	$153.12	$259.20