Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $34.58 / $122.09	Facility		$15.09	$34.58	$122.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.35 / $15.10	Professional		$10.06	$11.35	$15.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $8.73 / $19.50	Professional		$8.73	$8.73	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $13.84 / $22.26	Facility		$11.11	$13.84	$22.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $13.58	Professional		$6.21	$6.21	$13.58
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $7.93 / $7.93	Facility		$7.93	$7.93	$7.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.06 / $10.06	Professional		$10.06	$10.06	$10.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $13.21 / $16.98	Facility		$9.44	$13.21	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $12.64 / $20.72	Professional		$8.18	$12.64	$20.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $12.96 / $42.13	Facility		$8.18	$12.96	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.09 / $18.30	Professional		$6.44	$10.09	$18.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $25.46 / $87.32	Facility		$8.18	$25.46	$87.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $9.75 / $22.81	Professional		$7.51	$9.75	$22.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.38 / $15.10	Professional		$9.44	$10.38	$15.10
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $9.32 / $16.61	Professional		$5.28	$9.32	$16.61