Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $50.17 / $100.70	Facility		$25.19	$50.17	$100.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $19.43 / $40.32	Professional		$16.16	$19.43	$40.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $16.68 / $16.68	Professional		$16.68	$16.68	$16.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $29.36 / $47.23	Facility		$23.57	$29.36	$47.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $26.69	Professional		$10.68	$10.68	$26.69
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $26.69 / $36.03	Facility		$17.36	$26.69	$36.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $34.70 / $36.03	Professional		$22.69	$34.70	$36.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $27.48 / $66.50	Facility		$17.35	$27.48	$66.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $17.35 / $38.72	Professional		$11.35	$17.35	$38.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $27.48 / $91.09	Facility		$17.35	$27.48	$91.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $16.67 / $29.86	Professional		$11.35	$16.67	$29.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $22.02 / $32.03	Professional		$20.02	$22.02	$32.03
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.61 / $32.03	Professional		$10.53	$15.61	$32.03