Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $20.16 / $61.72	Facility		$10.83	$20.16	$61.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $18.41 / $35.76	Professional		$10.83	$18.41	$35.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.75 / $20.38	Professional		$17.28	$17.75	$20.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $29.05 / $46.79	Professional		$13.67	$29.05	$46.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.51 / $43.57 / $70.31	Professional	50	$20.51	$43.57	$70.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $12.62 / $15.63	Facility		$9.83	$12.62	$15.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.45 / $127,498.73	Professional		$20.00	$25.45	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $24.57 / $60.80	Professional		$12.84	$24.57	$60.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $22.73 / $47.55	Professional		$12.63	$22.73	$47.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.56 / $19.33	Professional		$10.68	$12.56	$19.33
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $26.48 / $50.04	Professional		$15.59	$26.48	$50.04