Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $115.01 / $143.53	Facility		$115.01	$115.01	$143.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $143.10 / $194.48	Professional		$115.01	$143.10	$194.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $23.20 / $40.00	Professional		$13.50	$23.20	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $48.69 / $200.00	Professional		$20.21	$48.69	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $29.08 / $72.90	Facility		$21.54	$29.08	$72.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $35.47 / $68.84	Professional		$21.54	$35.47	$68.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $147.10 / $234.66	Facility		$64.00	$147.10	$234.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $147.10 / $147.10	Facility		$28.95	$147.10	$147.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $107.38 / $147.10	Professional		$11.69	$107.38	$147.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $66.00 / $114.94	Professional		$40.00	$66.00	$114.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $14.40 / $50.15	Professional		$8.06	$14.40	$50.15