Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $53.30 / $125.47	Facility		$26.65	$53.30	$125.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $21.44 / $64.97	Professional		$13.66	$21.44	$64.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.07 / $17.07	Professional		$17.07	$17.07	$17.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $29.32 / $47.16	Facility		$23.53	$29.32	$47.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $12.15 / $28.78	Professional		$12.15	$12.15	$28.78
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $16.79 / $16.79	Facility		$16.79	$16.79	$16.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $26.65 / $35.97	Facility		$17.87	$26.65	$35.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $34.65 / $35.97	Professional		$22.65	$34.65	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $27.43 / $152.86	Facility		$17.32	$27.43	$152.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.73 / $38.20	Professional		$12.55	$19.73	$38.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $27.47 / $152.86	Facility		$17.32	$27.47	$152.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.73 / $41.23	Professional		$12.55	$19.73	$41.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $23.98 / $32.98	Professional		$19.98	$23.98	$32.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $34.90	Professional		$11.19	$15.99	$34.90