Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $91.97 / $309.08	Facility		$41.28	$91.97	$309.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $91.97 / $156.34	Professional		$81.90	$91.97	$156.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $128.41 / $128.41	Professional		$76.37	$128.41	$128.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.78 / $188.35 / $488.01	Facility		$160.78	$188.35	$488.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $88.64 / $224.99	Professional		$83.53	$88.64	$224.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $145.55 / $145.55	Professional		$145.55	$145.55	$145.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $188.35 / $254.32	Facility		$146.07	$188.35	$254.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $189.89 / $291.08	Professional		$128.41	$189.89	$291.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $143.21	Professional		$70.61	$70.61	$143.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $100.33	Professional		$70.61	$96.73	$100.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $127.29 / $166.87	Professional		$92.57	$127.29	$166.87
United Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $80.41 / $109.80	Professional		$54.89	$80.41	$109.80