Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $5,909.40 / $31,139.98	Facility		$19.42	$5,909.40	$31,139.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $17.19 / $46.95	Professional		$17.01	$17.19	$46.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $27.40 / $42.55	Facility		$18.38	$27.40	$42.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $19.19 / $28.69	Professional		$17.02	$19.19	$28.69
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $40.34 / $40.34	Facility		$40.34	$40.34	$40.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $17.02 / $25.34	Facility		$16.89	$17.02	$25.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $17.02 / $27.23	Professional		$16.89	$17.02	$27.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.02 / $23.31	Facility		$16.05	$17.02	$23.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $21.00	Professional		$17.02	$17.02	$21.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $17.95 / $45.30	Facility		$16.05	$17.95	$45.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $24.08	Professional		$17.02	$17.02	$24.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $19.42 / $23.64	Professional		$16.89	$19.42	$23.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $17.02 / $20.25	Professional		$16.55	$17.02	$20.25