Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $139.41 / $739.24	Facility		$38.49	$139.41	$739.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $48.80 / $84.45	Professional		$38.49	$48.80	$84.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $35.36 / $57.66	Professional		$35.36	$35.36	$57.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $52.52 / $89.79	Professional		$39.71	$52.52	$89.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $43.73 / $57.05	Facility		$38.03	$43.73	$57.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $62.47 / $111.91	Professional		$48.05	$62.47	$111.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $65.06 / $65.06	Facility		$65.06	$65.06	$65.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $64.66 / $104.68	Professional		$44.93	$64.66	$104.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.95 / $199.95 / $372.75	Facility		$199.95	$199.95	$372.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $63.41 / $102.58	Professional		$43.74	$63.41	$102.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $69.51 / $101.43	Professional		$52.54	$69.51	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $65.88 / $118.38	Professional		$45.02	$65.88	$118.38