Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $123.03	Facility		$40.74	$87.10	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $123.03	Professional		$36.31	$44.67	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $38.90	Professional		$30.90	$33.88	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $257.04	Facility		$42.66	$83.18	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $72.44	Professional		$39.81	$43.65	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Facility		$25.12	$25.12	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $66.07	Professional		$43.65	$43.65	$66.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $47.86 / $131.83	Facility		$12.88	$47.86	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $74.13	Professional		$43.65	$43.65	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $85.11	Professional		$44.67	$61.66	$85.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $97.72	Professional		$44.67	$50.12	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $47.86	Professional		$37.15	$42.66	$47.86