Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $181.97 / $426.58	Facility		$60.26	$181.97	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $199.53	Professional		$48.98	$66.07	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $120.23	Facility		$60.26	$69.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $89.13	Professional		$32.36	$40.74	$89.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $91.20	Facility		$52.48	$75.86	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $89.13	Professional		$66.07	$66.07	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $416.87	Facility		$42.66	$42.66	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $154.88	Professional		$33.11	$58.88	$154.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $67.61 / $537.03	Facility		$42.66	$67.61	$537.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $162.18	Professional		$33.11	$50.12	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $81.28	Professional		$48.98	$58.88	$81.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $151.36	Professional		$54.95	$72.44	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $66.07	Facility		$23.44	$58.88	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $89.13	Professional		$27.54	$38.90	$89.13