Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $74.62 / $108.36	Facility		$34.86	$74.62	$108.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $28.59 / $35.22	Professional		$17.87	$28.59	$35.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $39.31 / $63.25	Facility		$31.56	$39.31	$63.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $38.40	Professional		$14.30	$14.30	$38.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $37.53 / $48.25	Facility		$26.81	$37.53	$48.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $35.74 / $58.86	Professional		$23.23	$35.74	$58.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $36.79 / $121.96	Facility		$23.23	$36.79	$121.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $23.23 / $51.11	Professional		$16.35	$23.23	$51.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $37.40 / $75.27	Facility		$17.59	$37.40	$75.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $17.51 / $37.52	Professional		$15.19	$17.51	$37.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $32.17 / $44.23	Professional		$26.81	$32.17	$44.23
United Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $12.87 / $32.17	Facility		$12.87	$12.87	$32.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $21.44 / $42.89	Professional		$15.01	$21.44	$42.89