Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $149.91 / $1,122.39	Facility		$46.26	$149.91	$1,122.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $46.26 / $86.03	Professional		$36.27	$46.26	$86.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $35.27 / $38.53	Professional		$35.27	$35.27	$38.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $51.31 / $82.30	Professional		$35.43	$51.31	$82.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $43.64 / $54.02	Facility		$37.09	$43.64	$54.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $49.08 / $60.24	Professional		$49.08	$49.08	$60.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $62.65 / $62.65	Facility		$62.65	$62.65	$62.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $59.32 / $116.16	Professional		$40.27	$59.32	$116.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $62.65 / $1,001.65	Facility		$62.65	$62.65	$1,001.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $58.01 / $93.61	Professional		$40.27	$58.01	$93.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.08 / $100.66	Professional		$53.47	$71.08	$100.66
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $63.22 / $106.75	Professional		$44.17	$63.22	$106.75