Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $79.36 / $115.78	Facility		$37.04	$79.36	$115.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $33.72 / $46.31	Professional		$28.86	$33.72	$46.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $28.94	Professional		$27.79	$27.79	$28.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $50.94 / $81.95	Facility		$40.89	$50.94	$81.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $46.31	Professional		$18.52	$18.52	$46.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $29.18 / $29.18	Facility		$29.18	$29.18	$29.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $48.63 / $62.52	Facility		$34.72	$48.63	$62.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $46.35 / $76.26	Professional		$30.10	$46.35	$76.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $47.68 / $128.27	Facility		$30.10	$47.68	$128.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $30.10 / $66.59	Professional		$21.13	$30.10	$66.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $47.68 / $158.03	Facility		$30.10	$47.68	$158.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $21.60 / $50.94	Professional		$5.58	$21.60	$50.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $38.20 / $55.56	Professional		$25.47	$38.20	$55.56
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $27.79 / $55.57	Professional		$19.45	$27.79	$55.57