Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $34.74 / $117.90	Facility		$12.89	$34.74	$117.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $9.65 / $14.13	Professional		$8.59	$9.65	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $7.46	Professional		$6.44	$6.44	$7.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $11.81 / $19.01	Facility		$9.48	$11.81	$19.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $17.19	Professional		$5.30	$5.30	$17.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Facility		$6.77	$6.77	$6.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.59	Professional		$8.59	$8.59	$8.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $11.28 / $15.57	Facility		$8.06	$11.28	$15.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $13.96 / $29.10	Professional		$6.98	$13.96	$29.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $11.06 / $40.10	Facility		$6.98	$11.06	$40.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $15.92 / $35.70	Professional		$10.05	$15.92	$35.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $30.47 / $120.42	Facility		$9.58	$30.47	$120.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $11.81 / $25.89	Professional		$4.30	$11.81	$25.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $12.89 / $21.80	Professional		$8.06	$12.89	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.46 / $15.01	Professional		$4.51	$6.46	$15.01