Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $68.06 / $163.58	Facility		$21.50	$68.06	$163.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.39 / $28.34	Professional		$10.92	$14.39	$28.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.20 / $26.04	Professional		$8.40	$11.20	$26.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $18.48 / $29.73	Facility		$14.83	$18.48	$29.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.74 / $13.76	Professional		$7.95	$9.74	$13.76
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $19.62	Professional		$11.76	$11.76	$19.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $17.64 / $22.68	Facility		$12.60	$17.64	$22.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $16.85 / $27.67	Professional		$10.92	$16.85	$27.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $17.30 / $37.90	Facility		$10.92	$17.30	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $16.80 / $24.46	Professional		$8.59	$16.80	$24.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $48.13 / $129.30	Facility		$11.69	$48.13	$129.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $10.58 / $30.91	Professional		$5.58	$10.58	$30.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $13.86 / $20.16	Professional		$12.60	$13.86	$20.16
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $23.47	Professional		$7.06	$10.08	$23.47