Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $55.59 / $114.00	Facility		$55.59	$55.59	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $55.59 / $76.56	Professional		$54.18	$55.59	$76.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $85.83 / $85.83	Professional		$85.83	$85.83	$85.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.91 / $125.24 / $324.47	Facility		$106.91	$125.24	$324.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $61.08 / $148.00	Professional		$57.04	$61.08	$148.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $113.85 / $153.69	Facility		$85.39	$113.85	$153.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $103.01 / $243.78	Professional		$74.39	$103.01	$243.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $134.12	Facility		$90.38	$90.38	$134.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $94.66	Professional		$76.81	$76.81	$94.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $90.38	Facility		$90.38	$90.38	$90.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $90.38	Professional		$76.81	$90.38	$90.38
United Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $56.80 / $78.18	Professional		$37.86	$56.80	$78.18