Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $1,905.46 / $5,623.41	Facility		$8.71	$1,905.46	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $77.62 / $4,365.16	Professional		$6.03	$77.62	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $7.08	Professional		$4.68	$6.46	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.02 / $33.88	Facility		$7.08	$12.02	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.24 / $11.48	Professional		$6.46	$7.24	$11.48
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.31	Facility		$6.17	$6.17	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $10.23	Professional		$6.31	$6.31	$10.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $11.22 / $21.38	Facility		$4.79	$11.22	$21.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $11.22	Professional		$6.31	$6.31	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $9.33	Professional		$6.46	$8.13	$9.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.72 / $15.14	Professional		$6.46	$10.72	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $7.08	Professional		$6.46	$6.46	$7.08