Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $41.03 / $92.33	Facility		$15.70	$41.03	$92.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $17.66 / $19.63	Professional		$15.70	$17.66	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $13.63	Professional		$13.63	$13.63	$13.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $21.59 / $34.74	Facility		$17.32	$21.59	$34.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $21.20	Professional		$9.69	$9.69	$21.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $19.63 / $26.50	Facility		$13.08	$19.63	$26.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $25.52 / $26.50	Professional		$16.69	$25.52	$26.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $20.21 / $74.45	Facility		$12.76	$20.21	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.76 / $28.57	Professional		$9.91	$15.76	$28.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $20.21 / $75.56	Facility		$12.76	$20.21	$75.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.76 / $26.35	Professional		$9.91	$15.76	$26.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $17.66 / $24.28	Professional		$14.72	$17.66	$24.28
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.01 / $27.42	Professional		$8.24	$12.01	$27.42