Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $18.76 / $116.18	Facility		$8.57	$18.76	$116.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.91 / $17.63	Professional		$8.57	$11.91	$17.63
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $48.39 / $74.14 / $74.14	Professional	CQ	$48.39	$74.14	$74.14
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $10.98 / $10.98 / $10.98	Professional	CQ	$10.98	$10.98	$10.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $78.00 / $87.00	Facility		$20.21	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.82 / $20.78	Professional		$9.57	$11.82	$20.78
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $17.70 / $17.70	Facility		$17.70	$17.70	$17.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.98 / $16.05	Professional		$9.60	$10.98	$16.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $15.09 / $20.38	Facility		$13.61	$15.09	$20.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.46 / $31.39	Professional		$13.72	$16.46	$31.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $65.00 / $140.00	Facility		$20.88	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $23.78 / $111.17	Professional		$12.48	$23.78	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $89.60 / $132.44	Facility		$36.42	$89.60	$132.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.73 / $32.22	Professional		$11.75	$18.73	$32.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.51 / $17.24	Professional		$11.49	$13.51	$17.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $13.26 / $22.25	Professional		$11.00	$13.26	$22.25