Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $32.97 / $377.10	Facility		$10.55	$32.97	$377.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.79 / $23.76	Professional		$10.55	$11.79	$23.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $14.51 / $23.34	Facility		$11.65	$14.51	$23.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $14.24	Professional		$6.51	$6.51	$14.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $10.55 / $10.55	Professional		$10.55	$10.55	$10.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $13.19 / $17.80	Facility		$10.59	$13.19	$17.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.14 / $17.80	Professional		$11.21	$17.14	$17.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $13.57 / $49.26	Facility		$8.57	$13.57	$49.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.58 / $19.19	Professional		$6.77	$10.58	$19.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $13.57 / $51.30	Facility		$8.57	$13.57	$51.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.58 / $22.11	Professional		$6.75	$10.58	$22.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $10.87 / $15.82	Professional		$9.89	$10.87	$15.82
United Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $15.83 / $15.83	Facility		$15.83	$15.83	$15.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.91 / $18.43	Professional		$5.54	$7.91	$18.43