Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $61.66 / $138.04	Facility		$21.88	$61.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $34.67	Professional		$12.59	$17.78	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $14.45	Professional		$10.23	$14.45	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $42.66	Facility		$20.89	$23.99	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $26.30	Professional		$9.12	$11.48	$26.30
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.99 / $28.84	Facility		$22.91	$23.99	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $30.90	Professional		$14.79	$22.91	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $47.86	Facility		$14.79	$14.79	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $28.18	Professional		$10.47	$13.80	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $79.43	Facility		$14.79	$29.51	$79.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $33.11	Professional		$9.12	$13.18	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $28.18	Professional		$15.49	$19.05	$28.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $53.70	Professional		$14.79	$23.99	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.79 / $22.91	Facility		$8.32	$14.79	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $22.91	Professional		$9.55	$13.80	$22.91