Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $30.32 / $926.30	Facility		$26.75	$30.32	$926.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $34.97 / $51.62	Professional		$15.46	$34.97	$51.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $34.11 / $50.38	Professional		$13.20	$34.11	$50.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $31.12 / $56.76	Professional		$16.67	$31.12	$56.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $34.07 / $34.07	Professional		$25.55	$34.07	$34.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $16.98 / $22.92	Facility		$12.74	$16.98	$22.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $39.18 / $47.70	Professional		$28.11	$39.18	$47.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $42.00 / $62.99	Professional		$21.53	$42.00	$62.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $40.89 / $60.85	Professional		$23.77	$40.89	$60.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $33.00 / $49.47	Professional		$24.11	$33.00	$49.47
Optum Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $48.71 / $92.96	Professional		$37.34	$48.71	$92.96
United Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $48.72 / $89.76	Professional		$35.78	$48.72	$89.76