Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.55 / $52.55 / $138.00	Facility		$52.55	$52.55	$138.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $52.55 / $73.05	Professional		$47.12	$52.55	$73.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $55.03 / $77.29	Professional		$55.03	$55.03	$77.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $107.61 / $278.82	Facility		$91.86	$107.61	$278.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $54.88 / $130.44	Professional		$47.73	$54.88	$130.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $83.16 / $88.05	Professional		$83.16	$83.16	$88.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $107.61 / $145.30	Facility		$83.16	$107.61	$145.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $122.13 / $206.52	Professional		$68.48	$122.13	$206.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $136.82	Facility		$72.18	$72.18	$136.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $52.69 / $81.34	Professional		$52.69	$52.69	$81.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $72.18	Professional		$52.69	$72.18	$72.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $72.73 / $95.35	Professional		$52.89	$72.73	$95.35
United Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $48.81 / $70.90	Professional		$32.54	$48.81	$70.90