Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Facility		$50.56	$50.56	$50.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $61.87 / $90.70	Professional		$49.47	$61.87	$90.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $98.49 / $98.49	Professional		$98.49	$98.49	$98.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $118.36 / $189.38	Facility		$85.88	$118.36	$189.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $75.94 / $123.82	Professional		$46.09	$75.94	$123.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $118.03 / $118.70	Professional		$109.43	$118.03	$118.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $71.02 / $118.70	Facility		$8.90	$71.02	$118.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $66.77 / $254.16	Professional		$8.05	$66.77	$254.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $106.56	Facility		$64.23	$64.23	$106.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $138.75	Professional		$54.60	$54.60	$138.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $64.23 / $64.23	Professional		$51.85	$64.23	$64.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $500.00 / $721.05	Professional		$400.00	$500.00	$721.05
United Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $52.83 / $76.50	Professional		$33.02	$52.83	$76.50