Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.87 / $24.87 / $24.87	Facility		$24.87	$24.87	$24.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $26.56 / $48.69	Professional		$23.39	$26.56	$48.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $46.65 / $62.20	Professional		$31.10	$46.65	$62.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $58.21 / $93.14	Facility		$42.24	$58.21	$93.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $51.99 / $108.66	Professional		$40.54	$51.99	$108.66
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $67.54 / $73.65	Professional		$62.20	$67.54	$73.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $35.96 / $73.65	Facility		$4.66	$35.96	$73.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $35.90 / $82.49	Professional		$4.32	$35.90	$82.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $74.17	Facility		$31.00	$31.00	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $31.00 / $54.02	Professional		$26.35	$31.00	$54.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $46.43	Facility		$31.00	$31.00	$46.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $31.00 / $41.50	Professional		$27.69	$31.00	$41.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $61.10 / $88.11	Professional		$48.88	$61.10	$88.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $30.42 / $48.93	Professional		$17.51	$30.42	$48.93