Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $151.19 / $805.95	Facility		$25.88	$151.19	$805.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $63.92 / $146.34	Professional		$15.41	$63.92	$146.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $10.76 / $12.46	Professional		$8.97	$10.76	$12.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $19.72 / $31.73	Facility		$15.83	$19.72	$31.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $19.36	Professional		$8.86	$8.86	$19.36
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Facility		$11.30	$11.30	$11.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $18.82 / $24.21	Facility		$14.39	$18.82	$24.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $17.93 / $29.53	Professional		$11.65	$17.93	$29.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $18.45 / $66.95	Facility		$11.65	$18.45	$66.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.39 / $26.11	Professional		$9.08	$14.39	$26.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $38.72 / $102.29	Facility		$11.65	$38.72	$102.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $13.27 / $36.47	Professional		$5.07	$13.27	$36.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.79 / $21.52	Professional		$13.45	$14.79	$21.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.79 / $23.68	Professional		$7.53	$10.79	$23.68