Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $20.90 / $99.90	Facility		$6.62	$20.90	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.65 / $11.67	Professional		$4.13	$4.65	$11.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.59 / $8.02	Professional		$2.59	$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 / $3.04 / $4.40	Professional		$2.45	$3.04	$4.40
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 $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.44 / $6.99	Facility		$4.07	$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 / $19.32	Facility		$3.37	$5.34	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $5.27 / $8.78	Professional		$2.64	$5.27	$8.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $32.95 / $92.11	Facility		$5.34	$32.95	$92.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $4.15 / $9.15	Professional		$2.48	$4.15	$9.15
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 $2.59 / $4.66 / $7.23	Professional		$2.59	$4.66	$7.23