Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $26.38 / $92.96	Facility		$12.11	$26.38	$92.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.89 / $21.62	Professional		$9.44	$10.89	$21.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.41 / $12.11	Professional		$7.27	$8.41	$12.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $13.32 / $21.43	Facility		$10.69	$13.32	$21.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.27 / $11.41	Professional		$7.00	$7.27	$11.41
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $7.63 / $7.63	Facility		$7.63	$7.63	$7.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Professional		$9.69	$9.69	$9.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $12.72 / $16.35	Facility		$9.08	$12.72	$16.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $12.11 / $19.95	Professional		$7.87	$12.11	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $12.47 / $27.32	Facility		$7.87	$12.47	$27.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $12.08 / $17.62	Professional		$6.11	$12.08	$17.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $28.60 / $88.32	Facility		$10.81	$28.60	$88.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $9.36 / $22.79	Professional		$6.38	$9.36	$22.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.98 / $14.52	Professional		$9.08	$9.98	$14.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.27 / $16.91	Professional		$5.09	$7.27	$16.91