Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $17.78 / $3,388.44	Facility		$8.71	$17.78	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $5,623.41	Professional		$7.94	$8.13	$5,623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.18 / $29.51	Facility		$8.91	$13.18	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.33 / $14.45	Professional		$8.13	$9.33	$14.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $41.69	Facility		$28.18	$28.18	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $64.57	Professional		$28.18	$28.18	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $29.51	Facility		$2.63	$2.63	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.12	Professional		$8.13	$8.13	$9.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $61.66 / $181.97	Facility		$2.63	$61.66	$181.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $38.90	Professional		$8.13	$8.13	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $28.18 / $36.31	Professional		$8.13	$28.18	$36.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $23.99	Professional		$8.71	$10.96	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $28.18	Facility		$8.13	$8.13	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $25.12	Professional		$8.13	$8.71	$25.12