Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $47.86 / $181.97	Facility		$12.59	$47.86	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $61.66	Professional		$8.91	$11.22	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.94 / $21.38	Professional		$5.13	$7.94	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.02 / $21.38	Facility		$10.47	$12.02	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $10.00	Professional		$5.50	$6.92	$10.00
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.02 / $14.45	Facility		$11.48	$12.02	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $15.49	Professional		$7.41	$11.48	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.59 / $42.66	Facility		$7.41	$7.59	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.72 / $20.89	Professional		$5.75	$10.72	$20.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $30.20 / $104.71	Facility		$6.31	$30.20	$104.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.41 / $20.89	Professional		$4.37	$7.41	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $14.13	Professional		$7.76	$9.55	$14.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $25.12	Professional		$8.13	$12.59	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.94 / $11.48	Facility		$4.17	$7.94	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $13.80	Professional		$4.79	$6.92	$13.80