Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.02 / $30.90	Facility		$7.94	$12.02	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $18.20	Professional		$6.03	$7.94	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $13.80	Professional		$7.08	$7.08	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.33 / $16.22	Facility		$8.13	$9.33	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.37 / $7.59	Professional		$4.17	$5.37	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.33 / $11.22	Facility		$6.92	$9.33	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.91 / $12.02	Professional		$5.75	$8.91	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $29.51	Facility		$5.75	$5.75	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.76 / $16.60	Professional		$4.47	$7.76	$16.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.00 / $57.54	Facility		$5.75	$10.00	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.92 / $14.79	Professional		$4.57	$6.92	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.96	Professional		$6.03	$7.94	$10.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.77 / $20.42	Professional		$6.17	$9.77	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.03 / $8.91	Facility		$3.24	$6.03	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $10.72	Professional		$3.72	$5.37	$10.72