Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $27.93 / $143.78	Facility		$14.99	$27.93	$143.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $24.12 / $88.43	Professional		$14.32	$24.12	$88.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.78 / $35.10 / $35.10	Professional	25	$22.78	$35.10	$35.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $14.56 / $19.86	Professional		$12.04	$14.56	$19.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $23.07 / $41.75	Professional		$16.66	$23.07	$41.75
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $15.62 / $19.86	Facility		$13.24	$15.62	$19.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $17.21 / $30.26	Professional		$13.62	$17.21	$30.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Facility		$25.46	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $21.33 / $42.49	Professional		$14.00	$21.33	$42.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $115.71 / $115.71	Facility		$115.71	$115.71	$115.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $21.33 / $37.11	Professional		$14.00	$21.33	$37.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.90 / $15.29	Professional		$13.00	$13.90	$15.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $20.52 / $34.64	Professional		$13.86	$20.52	$34.64