Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $58.88	Facility		$15.14	$30.20	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $33.88	Professional		$12.30	$13.80	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $10.47	Professional		$10.00	$10.47	$10.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $30.90	Facility		$15.49	$17.78	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.32 / $12.30	Professional		$6.46	$8.32	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $19.05	Facility		$11.48	$11.48	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $22.39	Professional		$10.96	$16.60	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $35.48	Facility		$10.96	$10.96	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $28.18	Professional		$7.59	$15.14	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.20 / $74.13	Facility		$10.96	$18.20	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $9.55 / $26.92	Professional		$4.07	$9.55	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $20.89	Professional		$11.22	$13.80	$20.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $33.11	Professional		$10.96	$17.78	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.96 / $16.60	Facility		$6.03	$10.96	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $10.00 / $19.95	Professional		$4.47	$10.00	$19.95