Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $53.00	Facility		$22.42	$22.42	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $22.42 / $32.22	Professional		$16.39	$22.42	$32.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $14.67 / $14.67	Professional		$14.67	$14.67	$14.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $15.93 / $45.91	Professional		$15.93	$15.93	$45.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $35.32 / $35.32	Professional		$35.32	$35.32	$35.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $35.32 / $47.68	Facility		$26.49	$35.32	$47.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $35.32 / $75.63	Professional		$22.96	$35.32	$75.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $41.39	Facility		$12.60	$21.22	$41.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $27.42	Professional		$18.04	$18.04	$27.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $21.22	Facility		$12.60	$21.22	$21.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $21.22 / $21.85	Professional		$18.04	$21.22	$21.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.41 / $16.28	Professional		$9.03	$12.41	$16.28
United Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.59 / $22.57	Professional		$11.27	$16.59	$22.57