Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $48.00	Facility		$17.73	$17.73	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $17.73 / $25.51	Professional		$16.46	$17.73	$25.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $29.70 / $31.29	Professional		$29.70	$29.70	$31.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $43.56 / $112.86	Facility		$37.18	$43.56	$112.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.24 / $41.23	Professional		$8.00	$10.24	$41.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $33.65 / $33.65	Professional		$33.65	$33.65	$33.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $39.60 / $53.46	Facility		$27.47	$39.60	$53.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $39.60 / $84.79	Professional		$25.74	$39.60	$84.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $49.94	Facility		$22.22	$22.22	$49.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $28.39	Professional		$16.22	$16.22	$28.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $22.22	Professional		$16.22	$22.22	$22.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $20.35 / $26.67	Professional		$14.80	$20.35	$26.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $19.37 / $28.43	Professional		$12.91	$19.37	$28.43