Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $660.69	Professional		$117.49	$169.82	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $154.88	Professional		$112.20	$125.89	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $407.38	Professional		$151.36	$251.19	$407.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $245.47	Professional		$107.15	$107.15	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $245.47	Professional		$107.15	$134.90	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $316.23	Professional		$117.49	$177.83	$316.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $302.00	Professional		$112.20	$165.96	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $288.40	Professional		$128.82	$151.36	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $234.42	Professional		$107.15	$151.36	$234.42