Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $67.63 / $142.00	Facility		$45.44	$67.63	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $54.02 / $91.64	Professional		$44.51	$54.02	$91.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $67.45 / $118.48	Professional		$50.59	$67.45	$118.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $98.92 / $256.30	Facility		$84.44	$98.92	$256.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $50.45 / $119.91	Professional		$43.87	$50.45	$119.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $76.44 / $76.44	Professional		$76.44	$76.44	$76.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $98.92 / $133.57	Facility		$80.94	$98.92	$133.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $111.05 / $152.88	Professional		$67.45	$111.05	$152.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $58.00	Professional		$42.34	$42.34	$58.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $72.11	Professional		$42.34	$58.00	$72.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $52.45 / $68.77	Professional		$38.15	$52.45	$68.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $44.87 / $67.59	Professional		$29.91	$44.87	$67.59