Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $85.93 / $357.70	Facility		$13.22	$85.93	$357.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $9.36 / $18.73	Professional		$8.26	$9.36	$18.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $6.19 / $7.17	Professional		$5.16	$6.19	$7.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $11.35 / $18.26	Facility		$9.11	$11.35	$18.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $11.14	Professional		$5.09	$5.09	$11.14
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Facility		$6.50	$6.50	$6.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $8.26 / $8.26	Professional		$8.26	$8.26	$8.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $10.84 / $13.93	Facility		$7.87	$10.84	$13.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $10.37 / $16.98	Professional		$6.71	$10.37	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.63 / $23.28	Facility		$6.71	$10.63	$23.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.27 / $15.03	Professional		$5.28	$8.27	$15.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $74.52 / $169.91	Facility		$13.26	$74.52	$169.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $7.96 / $16.10	Professional		$5.31	$7.96	$16.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.51 / $12.38	Professional		$7.74	$8.51	$12.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.21 / $14.42	Professional		$4.33	$6.21	$14.42