Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $105.71 / $252.90	Facility		$38.60	$105.71	$252.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $41.97 / $75.54	Professional		$24.56	$41.97	$75.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $17.55 / $35.09	Professional		$13.16	$17.55	$35.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $24.85 / $56.17	Professional		$19.88	$24.85	$56.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Facility		$22.11	$22.11	$22.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $52.64	Facility		$35.09	$40.35	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $76.39	Professional		$35.09	$45.62	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $39.92 / $200.27	Facility		$36.11	$39.92	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $44.66 / $142.08	Facility		$14.21	$44.66	$142.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $25.20 / $67.72	Professional		$17.03	$25.20	$67.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $31.58 / $43.42	Professional		$27.63	$31.58	$43.42
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $53.29	Professional		$14.74	$21.05	$53.29