Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.38 / $42.66	Facility		$11.22	$21.38	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $12.02	Professional		$6.03	$7.41	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.79 / $25.70	Facility		$12.88	$14.79	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $10.72	Professional		$5.89	$6.92	$10.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.79 / $17.78	Facility		$9.33	$14.79	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $19.05	Professional		$9.12	$14.13	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $44.67	Facility		$9.12	$9.12	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.72 / $22.39	Professional		$6.46	$10.72	$22.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.85 / $57.54	Facility		$9.55	$15.85	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $19.95	Professional		$5.37	$7.59	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $17.38	Professional		$9.55	$11.75	$17.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.79 / $33.11	Professional		$9.12	$14.79	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.12 / $14.13	Facility		$5.13	$9.12	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.51 / $16.98	Professional		$5.89	$8.51	$16.98