Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $46.35 / $167.40	Facility		$18.66	$46.35	$167.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $13.55 / $30.10	Professional		$11.13	$13.55	$30.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $23.33	Professional		$9.02	$9.02	$23.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.55 / $26.63	Facility		$13.29	$16.55	$26.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $16.25	Professional		$7.44	$7.44	$16.25
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Facility		$9.48	$9.48	$9.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Professional		$12.04	$12.04	$12.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $15.80 / $20.32	Facility		$11.29	$15.80	$20.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.24 / $24.79	Professional		$9.77	$15.24	$24.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.49 / $33.95	Facility		$9.77	$15.49	$33.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.08 / $21.92	Professional		$7.60	$12.08	$21.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $50.10 / $150.38	Facility		$16.54	$50.10	$150.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $11.73 / $27.31	Professional		$6.34	$11.73	$27.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.41 / $18.06	Professional		$11.29	$12.41	$18.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $13.19 / $21.03	Professional		$8.27	$13.19	$21.03