Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.89 / $87.10	Facility		$10.00	$20.89	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.71 / $20.89	Professional		$7.94	$8.71	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.61	Professional		$6.31	$6.31	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.96 / $19.50	Facility		$9.55	$10.96	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $8.13	Professional		$4.47	$5.62	$8.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $8.32	Professional		$7.41	$7.41	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $13.18	Facility		$7.24	$10.96	$13.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $14.13	Professional		$6.76	$10.47	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $21.88	Facility		$6.76	$6.76	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.59 / $17.78	Professional		$4.79	$7.59	$17.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.22 / $60.26	Facility		$7.08	$16.22	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.59 / $17.78	Professional		$4.17	$7.59	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $12.88	Professional		$7.08	$8.71	$12.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $20.89	Professional		$7.41	$11.48	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.76 / $10.47	Facility		$3.80	$6.76	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.31 / $12.59	Professional		$4.37	$6.31	$12.59