Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $12.83 / $95.20	Facility		$9.63	$12.83	$95.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $12.57 / $17.48	Professional		$5.81	$12.57	$17.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $10.64 / $14.19	Professional		$8.65	$10.64	$14.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $13.03 / $19.61	Professional		$4.76	$13.03	$19.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $12.19 / $18.29	Professional		$9.14	$12.19	$18.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $12.19 / $16.46	Facility		$9.14	$12.19	$16.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $16.02 / $19.54	Professional		$11.52	$16.02	$19.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $12.19 / $23.86	Professional		$3.20	$12.19	$23.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $12.42 / $21.63	Professional		$4.30	$12.42	$21.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $13.70	Professional		$11.64	$11.64	$13.70
Optum Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.65 / $19.21	Professional		$5.00	$13.65	$19.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $14.93 / $31.27	Professional		$5.33	$14.93	$31.27