Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $70.05 / $116.74	Facility		$27.35	$70.05	$116.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $28.18 / $34.19	Professional		$17.53	$28.18	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $21.91	Professional		$20.51	$20.51	$21.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $37.61 / $60.51	Facility		$30.19	$37.61	$60.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $35.75	Professional		$15.58	$15.58	$35.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $21.54 / $21.54	Facility		$21.54	$21.54	$21.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $35.90 / $46.16	Facility		$25.64	$35.90	$46.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $34.36 / $56.30	Professional		$22.22	$34.36	$56.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $35.20 / $117.82	Facility		$22.22	$35.20	$117.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $25.32 / $49.04	Professional		$16.02	$25.32	$49.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $35.24 / $117.82	Facility		$20.63	$35.24	$117.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $19.69 / $57.22	Professional		$8.60	$19.69	$57.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $28.20 / $41.02	Professional		$25.64	$28.20	$41.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $21.04 / $44.08	Professional		$14.36	$21.04	$44.08