Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $45.93 / $74.48	Facility		$14.70	$45.93	$74.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.37 / $49.53	Professional		$14.70	$16.37	$49.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Professional		$12.76	$12.76	$12.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.21 / $32.51	Facility		$16.22	$20.21	$32.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $19.82	Professional		$9.07	$9.07	$19.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Facility		$11.57	$11.57	$11.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $18.37 / $24.80	Facility		$12.35	$18.37	$24.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $23.88 / $24.80	Professional		$15.61	$23.88	$24.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $18.91 / $68.59	Facility		$11.94	$18.91	$68.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.74 / $26.74	Professional		$9.41	$14.74	$26.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $18.91 / $69.67	Facility		$11.94	$18.91	$69.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.94 / $24.67	Professional		$9.41	$11.94	$24.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $15.15 / $22.04	Professional		$13.78	$15.15	$22.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.26 / $25.66	Professional		$7.72	$11.26	$25.66