Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $61.66 / $316.23	Facility		$10.47	$61.66	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.12 / $41.69	Professional		$8.91	$9.12	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $58.88	Facility		$10.00	$19.50	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.23 / $18.62	Professional		$9.12	$10.23	$18.62
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $9.12	Facility		$8.71	$8.71	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $69.18	Professional		$9.12	$9.12	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $47.86 / $154.88	Facility		$8.71	$47.86	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $69.18	Professional		$9.12	$9.12	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $13.80	Professional		$9.12	$11.48	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.02 / $16.60	Professional		$7.24	$12.02	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $12.02	Professional		$9.12	$9.12	$12.02