Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $309.03 / $912.01	Facility		$37.15	$309.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $26.30 / $125.89	Professional		$10.96	$26.30	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $46.77	Professional		$10.96	$13.80	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $26.30	Professional		$12.02	$13.49	$26.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $44.67	Professional		$11.48	$15.14	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.18 / $18.62	Facility		$9.77	$13.18	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $93.33	Professional		$38.02	$51.29	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $81.28	Facility		$19.50	$20.42	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $45.71 / $81.28	Professional		$12.02	$45.71	$81.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $229.09 / $407.38	Facility		$93.33	$229.09	$407.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $29.51 / $77.62	Professional		$12.02	$29.51	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $32.36 / $33.11	Professional		$11.22	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $31.62 / $74.13	Professional		$12.02	$31.62	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $34.67 / $75.86	Professional		$11.22	$34.67	$75.86