Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $190.07 / $879.98	Facility		$29.75	$190.07	$879.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $12.32 / $37.79	Professional		$9.78	$12.32	$37.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.78 / $25.66	Professional		$9.94	$10.78	$25.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.75 / $20.43	Professional		$8.69	$10.75	$20.43
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $12.29 / $15.88	Facility		$9.09	$12.29	$15.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.02 / $21.30	Professional		$10.24	$12.02	$21.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Facility		$13.39	$13.39	$13.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.82 / $19.71	Professional		$9.61	$12.82	$19.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.82 / $112.24 / $299.60	Facility		$40.82	$112.24	$299.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.32 / $19.71	Professional		$9.61	$13.32	$19.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $8.06 / $9.48	Professional		$7.33	$8.06	$9.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.91 / $20.19	Professional		$8.66	$11.91	$20.19