Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $32.17 / $104.40	Facility		$13.84	$32.17	$104.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $9.65 / $12.91	Professional		$8.25	$9.65	$12.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $12.28 / $19.75	Facility		$9.85	$12.28	$19.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $12.05	Professional		$5.51	$5.51	$12.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $7.03 / $7.03	Facility		$7.03	$7.03	$7.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Professional		$8.93	$8.93	$8.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $11.72 / $15.07	Facility		$8.96	$11.72	$15.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $11.34 / $18.38	Professional		$7.25	$11.34	$18.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $11.48 / $25.17	Facility		$7.25	$11.48	$25.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $8.96 / $16.52	Professional		$5.61	$8.96	$16.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $22.19 / $103.51	Facility		$7.25	$22.19	$103.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $8.53 / $19.91	Professional		$5.61	$8.53	$19.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.20 / $13.39	Professional		$8.36	$9.20	$13.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $7.00 / $14.74	Professional		$4.69	$7.00	$14.74