Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $8.52 / $22.00	Facility		$8.52	$8.52	$22.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $8.52 / $11.49	Professional		$6.56	$8.52	$11.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $10.73	Professional		$10.73	$10.73	$10.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $17.43	Professional		$6.73	$6.73	$17.43
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $13.41	Professional		$13.41	$13.41	$13.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $13.41 / $18.10	Facility		$10.06	$13.41	$18.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $13.41 / $28.71	Professional		$8.72	$13.41	$28.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.07 / $15.72	Facility		$7.76	$8.07	$15.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $9.49	Professional		$6.86	$6.86	$9.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.07 / $8.53	Facility		$7.76	$8.07	$8.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.07 / $8.53	Professional		$6.86	$8.07	$8.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $9.83 / $12.89	Professional		$7.15	$9.83	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.24 / $8.58	Professional		$4.36	$6.24	$8.58