Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.41 / $61.20	Facility		$5.62	$12.41	$61.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.63 / $6.16	Professional		$4.13	$4.63	$6.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.10 / $3.58	Professional		$3.09	$3.10	$3.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $5.68 / $9.13	Facility		$4.55	$5.68	$9.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $5.84	Professional		$2.54	$2.54	$5.84
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.25	Facility		$3.25	$3.25	$3.25
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $5.42 / $6.97	Facility		$3.87	$5.42	$6.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.18 / $8.50	Professional		$3.35	$5.18	$8.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $5.31 / $11.64	Facility		$3.35	$5.31	$11.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.83 / $7.51	Professional		$2.64	$4.83	$7.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $11.64 / $55.53	Facility		$5.30	$11.64	$55.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.62 / $9.15	Professional		$2.25	$3.62	$9.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.25 / $6.19	Professional		$3.87	$4.25	$6.19
United Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Facility		$6.19	$6.19	$6.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.10 / $8.32	Professional		$2.17	$3.10	$8.32