Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $56.20 / $174.03	Facility		$22.72	$56.20	$174.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $18.47 / $21.35	Professional		$15.70	$18.47	$21.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $14.74	Professional		$12.74	$12.74	$14.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $23.35 / $37.57	Facility		$18.75	$23.35	$37.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $22.92	Professional		$10.48	$10.48	$22.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Facility		$13.37	$13.37	$13.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $24.81	Professional		$16.98	$16.98	$24.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $22.29 / $28.66	Facility		$15.92	$22.29	$28.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.40 / $34.97	Professional		$13.80	$21.40	$34.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.86 / $79.28	Facility		$13.80	$21.86	$79.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $17.04 / $30.90	Professional		$10.73	$17.04	$30.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $30.95 / $136.58	Facility		$11.60	$30.95	$136.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.96 / $35.61	Professional		$10.73	$15.96	$35.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $17.51 / $25.47	Professional		$15.92	$17.51	$25.47
United Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $7.64 / $19.11	Facility		$7.64	$7.64	$19.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $13.00 / $29.67	Professional		$8.92	$13.00	$29.67