Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $191.00	Facility		$70.38	$70.38	$191.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $70.38 / $102.85	Professional		$68.59	$70.38	$102.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $113.87 / $113.87	Professional		$113.87	$113.87	$113.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.35 / $158.55 / $410.80	Facility		$135.35	$158.55	$410.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $84.37 / $190.18	Professional		$70.31	$84.37	$190.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $122.52 / $122.52	Professional		$122.52	$122.52	$122.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.11 / $144.13 / $194.59	Facility		$108.11	$144.13	$194.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $144.13 / $308.63	Professional		$93.69	$144.13	$308.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $179.47	Facility		$90.07	$90.07	$179.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $115.06	Professional		$65.75	$65.75	$115.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $90.07	Professional		$65.75	$90.07	$90.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $107.15 / $140.47	Professional		$77.92	$107.15	$140.47
United Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $71.91 / $108.35	Professional		$47.94	$71.91	$108.35