Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $42.87 / $113.35	Facility		$20.86	$42.87	$113.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $17.64 / $19.43	Professional		$13.16	$17.64	$19.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.06 / $14.06	Professional		$12.14	$14.06	$14.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $22.26 / $35.82	Facility		$17.87	$22.26	$35.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $21.85	Professional		$9.99	$9.99	$21.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $12.75 / $12.75	Facility		$12.75	$12.75	$12.75
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Professional		$16.19	$16.19	$16.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $20.23 / $27.32	Facility		$13.81	$20.23	$27.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $26.31 / $27.32	Professional		$17.20	$26.31	$27.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $20.85 / $86.56	Facility		$13.16	$20.85	$86.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $16.23 / $29.46	Professional		$10.24	$16.23	$29.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $25.93 / $242.88	Facility		$13.16	$25.93	$242.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $14.16 / $31.44	Professional		$10.63	$14.16	$31.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $16.69 / $24.28	Professional		$15.18	$16.69	$24.28
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $12.18 / $31.50	Professional		$8.50	$12.18	$31.50