Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $38.90 / $87.10	Facility		$6.76	$38.90	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.25 / $32.36	Professional		$3.98	$5.25	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.17 / $10.72	Professional		$3.02	$4.17	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.31 / $10.96	Facility		$5.50	$6.31	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.72 / $7.76	Professional		$2.95	$3.72	$7.76
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.31 / $7.59	Facility		$4.07	$6.31	$7.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.03 / $8.13	Professional		$3.89	$6.03	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $17.78	Facility		$3.89	$3.89	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.89 / $8.71	Professional		$2.95	$3.89	$8.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.11 / $64.57	Facility		$12.59	$33.11	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.79 / $11.22	Professional		$2.40	$4.79	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $7.41	Professional		$4.07	$5.01	$7.41
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.31 / $12.02	Professional		$4.17	$6.31	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $4.07 / $6.03	Facility		$2.09	$4.07	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.63 / $7.24	Professional		$2.51	$3.63	$7.24