Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $31.11 / $39.58	Facility		$29.91	$31.11	$39.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $31.92 / $66.45	Professional		$26.56	$31.92	$66.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $146.00	Professional	25	$50.51	$50.51	$146.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $34.63 / $42.28	Professional		$25.67	$34.63	$42.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $31.89 / $31.89 / $31.89	Professional	25	$31.89	$31.89	$31.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $36.54 / $54.42	Professional		$29.37	$36.54	$54.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.71 / $31.71	Professional		$30.20	$31.71	$31.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $34.53 / $43.47	Facility		$28.57	$34.53	$43.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.26 / $62.01	Professional		$30.20	$39.26	$62.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $39.84 / $53.74	Professional		$27.49	$39.84	$53.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $36.33 / $107.90	Professional		$30.58	$36.33	$107.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $39.06 / $59.79	Professional		$28.29	$39.06	$59.79