Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $125.89	Facility		$26.92	$53.70	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $56.23	Professional		$18.20	$21.88	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.18 / $48.98	Facility		$24.55	$28.18	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $33.88	Professional		$12.02	$15.49	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $30.90	Facility		$17.78	$17.78	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $109.65	Facility		$17.38	$17.38	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $38.02	Professional		$12.59	$16.22	$38.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $151.36	Facility		$17.38	$30.20	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $41.69	Professional		$12.59	$19.95	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $33.11	Professional		$18.20	$23.99	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $61.66	Professional		$17.38	$28.18	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $17.38 / $26.92	Facility		$9.55	$17.38	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $31.62	Professional		$11.22	$15.85	$31.62