Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.72 / $12.88	Facility		$7.94	$10.72	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $10.96	Professional		$5.01	$7.94	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.88	Professional		$10.00	$10.00	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $16.22	Professional		$6.31	$7.59	$16.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.55 / $15.14	Facility		$6.31	$9.55	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $16.98	Professional		$8.13	$11.48	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.59 / $8.51	Facility		$7.24	$7.59	$8.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $7.59	Professional		$6.46	$6.46	$7.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.59 / $17.38	Facility		$7.24	$7.59	$17.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $7.94	Professional		$6.46	$6.46	$7.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $9.33	Professional		$4.68	$6.46	$9.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $26.30	Professional		$12.88	$14.45	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.25 / $8.13	Facility		$4.47	$5.25	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.89 / $8.13	Professional		$4.17	$5.89	$8.13