Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $48.45 / $163.91	Facility		$3.99	$48.45	$163.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.69 / $3.56	Professional		$2.33	$2.69	$3.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.08 / $2.99	Professional		$1.79	$2.08	$2.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.29 / $5.29	Facility		$2.64	$3.29	$5.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.22	Professional		$1.48	$1.48	$3.22
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Facility		$1.88	$1.88	$1.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Professional		$2.39	$2.39	$2.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.14 / $4.19	Facility		$2.24	$3.14	$4.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.99 / $4.92	Professional		$1.94	$2.99	$4.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $3.07 / $12.49	Facility		$1.94	$3.07	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.40 / $4.34	Professional		$1.49	$2.40	$4.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $41.15 / $119.07	Facility		$8.09	$41.15	$119.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.31 / $5.50	Professional		$1.20	$2.31	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.46 / $3.58	Professional		$2.24	$2.46	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.21 / $3.95	Professional		$1.26	$2.21	$3.95