Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $11.48 / $28.84	Facility		$7.94	$11.48	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $12.02	Professional		$5.01	$7.94	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $16.60	Professional		$6.03	$7.59	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.98 / $21.88	Facility		$13.49	$16.98	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $31.62	Professional		$15.49	$18.20	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $2.29 / $85.11	Facility		$0.68	$2.29	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $17.38	Professional		$10.47	$12.59	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.49 / $32.36	Professional		$13.80	$15.49	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.31 / $8.51	Professional		$3.80	$6.31	$8.51