Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $30.60 / $89.82	Facility		$6.42	$30.60	$89.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.51 / $6.39	Professional		$3.89	$4.51	$6.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.59 / $8.02	Professional		$3.11	$3.59	$8.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.70 / $9.17	Facility		$4.57	$5.70	$9.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.92 / $6.22	Professional		$2.45	$2.92	$6.22
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $3.26	Facility		$3.26	$3.26	$3.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $6.05	Professional		$3.63	$3.63	$6.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $5.44 / $6.99	Facility		$4.16	$5.44	$6.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $5.18 / $8.52	Professional		$3.37	$5.18	$8.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $5.34 / $11.69	Facility		$3.37	$5.34	$11.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.15 / $7.53	Professional		$2.64	$4.15	$7.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $31.70 / $79.53	Facility		$5.63	$31.70	$79.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.22 / $9.52	Professional		$1.51	$3.22	$9.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.27 / $6.22	Professional		$3.89	$4.27	$6.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.18 / $6.84	Professional		$2.18	$3.18	$6.84