Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $30.46 / $216.77	Facility		$13.21	$30.46	$216.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $11.85 / $23.70	Professional		$10.88	$11.85	$23.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $9.44 / $21.08	Professional		$8.16	$9.44	$21.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $14.96 / $24.07	Facility		$12.01	$14.96	$24.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $14.68	Professional		$6.72	$6.72	$14.68
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $8.57 / $8.57	Facility		$8.57	$8.57	$8.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Professional		$10.88	$10.88	$10.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $14.28 / $18.36	Facility		$10.19	$14.28	$18.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $13.62 / $22.39	Professional		$8.84	$13.62	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $14.00 / $50.75	Facility		$8.84	$14.00	$50.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.91 / $19.79	Professional		$6.93	$10.91	$19.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $29.95 / $87.49	Facility		$8.89	$29.95	$87.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $9.88 / $22.10	Professional		$6.93	$9.88	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.22 / $16.32	Professional		$10.19	$11.22	$16.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.16 / $19.00	Professional		$5.71	$8.16	$19.00