Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $46.95 / $213.98	Professional		$38.42	$46.95	$213.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $79.37 / $79.37	Professional		$39.20	$79.37	$79.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $43.53 / $132.22	Professional		$33.49	$43.53	$132.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $45.63 / $45.63	Professional		$45.63	$45.63	$45.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $64.83 / $85.04	Facility		$56.31	$64.83	$85.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $68.03 / $130.55	Professional		$56.69	$68.03	$130.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $59.53 / $117.69	Professional		$28.35	$59.53	$117.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $62.22 / $130.75	Professional		$28.35	$62.22	$130.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $76.49 / $103.54	Professional		$46.62	$76.49	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $64.40 / $117.27	Professional		$38.64	$64.40	$117.27