Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $43.59 / $61.00	Facility		$15.68	$43.59	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $17.76 / $44.19	Professional		$13.72	$17.76	$44.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $21.56 / $34.69	Facility		$17.30	$21.56	$34.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $21.16	Professional		$9.68	$9.68	$21.16
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $12.35 / $12.35	Facility		$12.35	$12.35	$12.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $19.60 / $26.46	Facility		$14.18	$19.60	$26.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $25.48 / $26.46	Professional		$16.66	$25.48	$26.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $20.18 / $65.62	Facility		$12.74	$20.18	$65.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.72 / $28.52	Professional		$9.91	$15.72	$28.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $20.18 / $75.56	Facility		$12.74	$20.18	$75.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.74 / $26.31	Professional		$9.91	$12.74	$26.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.17 / $23.52	Professional		$14.70	$16.17	$23.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.76 / $25.68	Professional		$8.23	$11.76	$25.68