Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $41.96 / $165.60	Facility		$16.61	$41.96	$165.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $12.05 / $23.76	Professional		$11.07	$12.05	$23.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $9.61	Professional		$8.30	$8.30	$9.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $15.22 / $24.49	Facility		$12.22	$15.22	$24.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $14.94	Professional		$6.83	$6.83	$14.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $8.72 / $8.72	Facility		$8.72	$8.72	$8.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $11.07 / $11.07	Professional		$11.07	$11.07	$11.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $14.53 / $18.68	Facility		$10.38	$14.53	$18.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $13.94 / $22.79	Professional		$9.00	$13.94	$22.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $14.26 / $51.65	Facility		$9.00	$14.26	$51.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $11.10 / $20.13	Professional		$7.10	$11.10	$20.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $23.45 / $81.50	Facility		$9.03	$23.45	$81.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $8.83 / $24.34	Professional		$3.82	$8.83	$24.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $11.41 / $16.60	Professional		$10.38	$11.41	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $4.98 / $12.46	Facility		$4.98	$4.98	$12.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $10.25 / $19.32	Professional		$5.81	$10.25	$19.32