Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $62.56 / $139.63	Facility		$29.53	$62.56	$139.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $26.32 / $42.50	Professional		$23.62	$26.32	$42.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $45.77	Professional		$20.51	$20.51	$45.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $32.47 / $52.26	Facility		$26.07	$32.47	$52.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $31.89	Professional		$14.58	$14.58	$31.89
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $18.60	Facility		$18.60	$18.60	$18.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $23.62 / $23.62	Professional		$23.62	$23.62	$23.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $29.53 / $39.86	Facility		$20.14	$29.53	$39.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $38.39 / $39.86	Professional		$25.10	$38.39	$39.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $30.40 / $110.28	Facility		$19.19	$30.40	$110.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.70 / $42.98	Professional		$15.03	$23.70	$42.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $30.90 / $114.71	Facility		$19.19	$30.90	$114.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $20.97 / $47.30	Professional		$15.41	$20.97	$47.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $24.36 / $35.44	Professional		$22.15	$24.36	$35.44
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $18.07 / $41.26	Professional		$12.40	$18.07	$41.26