Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.39 / $676.08	Facility		$1.70	$3.39	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $331.13	Professional		$1.00	$1.00	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.16 / $11.22	Facility		$1.86	$3.16	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.91 / $3.16	Professional		$1.70	$1.91	$3.16
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.70	Facility		$1.62	$1.62	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $5.25	Professional		$1.70	$1.70	$5.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.70 / $9.12	Facility		$1.62	$1.70	$9.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $5.25	Professional		$1.70	$1.70	$5.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.04 / $2.40	Professional		$1.62	$2.04	$2.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.82 / $3.89	Professional		$1.70	$2.82	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.70 / $1.70	Facility		$1.35	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.86	Professional		$1.70	$1.70	$1.86