Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $73.73 / $303.00	Facility		$22.77	$73.73	$303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.31 / $46.35	Professional		$21.53	$25.31	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Professional		$23.60	$23.60	$23.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.33 / $47.85	Professional		$10.96	$21.33	$47.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.13 / $32.86	Facility		$16.60	$22.13	$32.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $33.04 / $40.11	Professional		$25.96	$33.04	$40.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.00 / $59.18	Professional		$21.00	$27.00	$59.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.54 / $45.86	Professional		$21.00	$26.54	$45.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $28.26 / $42.81	Professional		$18.84	$28.26	$42.81
Optum Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $30.68 / $32.64	Professional		$14.34	$30.68	$32.64
United Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $31.26 / $61.20	Professional		$21.81	$31.26	$61.20