Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $67.78 / $131.30	Facility		$25.59	$67.78	$131.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $19.75 / $44.12	Professional		$14.36	$19.75	$44.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $29.82 / $47.98	Facility		$23.94	$29.82	$47.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $27.11	Professional		$10.84	$10.84	$27.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $21.69 / $21.69	Professional		$21.69	$21.69	$21.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $27.11 / $36.60	Facility		$14.89	$27.11	$36.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $35.24 / $36.60	Professional		$23.04	$35.24	$36.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.91 / $105.27	Facility		$17.62	$27.91	$105.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $31.39 / $39.24	Professional		$17.62	$31.39	$39.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.91 / $154.69	Facility		$17.62	$27.91	$154.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $187.48	Professional		$14.20	$14.20	$187.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $24.39 / $33.54	Professional		$20.32	$24.39	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $32.53	Professional		$11.39	$16.27	$32.53