Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $35.48 / $158.49	Facility		$16.98	$35.48	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $40.74	Professional		$12.59	$15.14	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $25.70	Professional		$11.75	$11.75	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $30.90	Facility		$15.49	$17.78	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $21.38	Professional		$8.32	$10.23	$21.38
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $21.38	Facility		$11.48	$17.78	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $22.91	Professional		$10.96	$16.98	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $70.79	Facility		$10.96	$10.96	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.96 / $23.99	Professional		$8.51	$10.96	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $35.48 / $181.97	Facility		$12.30	$35.48	$181.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $28.18	Professional		$8.91	$13.49	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $20.89	Professional		$11.48	$14.13	$20.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.62 / $37.15	Professional		$11.75	$18.62	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $11.75 / $16.98	Facility		$6.17	$11.75	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $20.42	Professional		$7.08	$10.23	$20.42