Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $34.85 / $142.19	Facility		$9.89	$34.85	$142.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.86 / $10.78	Professional		$6.31	$7.86	$10.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.41 / $13.98	Professional		$4.51	$5.41	$13.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $9.92 / $15.96	Facility		$7.96	$9.92	$15.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.11 / $9.88	Professional		$4.45	$5.11	$9.88
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $5.68 / $5.68	Facility		$5.68	$5.68	$5.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $10.54	Professional		$6.31	$6.31	$10.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $9.47 / $12.18	Facility		$6.77	$9.47	$12.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $9.08 / $14.86	Professional		$5.86	$9.08	$14.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $9.27 / $20.34	Facility		$5.86	$9.27	$20.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $7.23 / $13.13	Professional		$4.62	$7.23	$13.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $25.85 / $95.60	Facility		$8.05	$25.85	$95.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $5.85 / $16.91	Professional		$3.20	$5.85	$16.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.44 / $10.83	Professional		$6.77	$7.44	$10.83
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $6.30 / $12.60	Professional		$3.79	$6.30	$12.60