Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $37.51 / $99.45	Facility		$12.70	$37.51	$99.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $11.61 / $35.08	Professional		$10.41	$11.61	$35.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $14.31 / $23.02	Facility		$11.49	$14.31	$23.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $14.05	Professional		$6.42	$6.42	$14.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $13.01 / $17.55	Facility		$10.44	$13.01	$17.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $16.91 / $17.55	Professional		$11.06	$16.91	$17.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $13.40 / $48.58	Facility		$8.46	$13.40	$48.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.44 / $18.93	Professional		$6.60	$10.44	$18.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $13.40 / $49.30	Facility		$8.46	$13.40	$49.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $8.52 / $19.70	Professional		$6.60	$8.52	$19.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $10.73 / $15.61	Professional		$7.16	$10.73	$15.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $7.81 / $17.04	Professional		$5.46	$7.81	$17.04