Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $130.09 / $242.44	Facility		$65.40	$130.09	$242.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $52.57 / $109.15	Professional		$46.92	$52.57	$109.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $45.12 / $45.12	Professional		$43.31	$45.12	$45.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $79.41 / $127.75	Facility		$63.74	$79.41	$127.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $77.95	Professional		$28.88	$28.88	$77.95
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $50.53 / $50.53	Professional		$50.53	$50.53	$50.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $72.19 / $97.46	Facility		$57.58	$72.19	$97.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $93.85 / $97.46	Professional		$61.36	$93.85	$97.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $74.31 / $246.33	Facility		$46.92	$74.31	$246.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $37.72 / $103.77	Professional		$31.54	$37.72	$103.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $74.31 / $246.33	Facility		$46.92	$74.31	$246.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $42.59 / $140.52	Professional		$33.02	$42.59	$140.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $64.96 / $89.33	Professional		$54.14	$64.96	$89.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $43.31 / $94.57	Professional		$30.32	$43.31	$94.57