Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $89.89 / $873.47	Facility		$15.04	$89.89	$873.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.83 / $30.40	Professional		$3.00	$8.83	$30.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $4.55 / $13.65	Professional		$1.88	$4.55	$13.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $10.00 / $16.09	Facility		$8.02	$10.00	$16.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.71 / $10.31	Professional		$3.00	$5.71	$10.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $5.78	Facility		$5.78	$5.78	$5.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $7.34	Professional		$3.00	$3.00	$7.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $9.53 / $12.27	Facility		$6.82	$9.53	$12.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $9.09 / $14.97	Professional		$5.91	$9.09	$14.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.09 / $11.14	Facility		$2.00	$3.09	$11.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.65 / $8.25	Professional		$1.88	$2.65	$8.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $12.91 / $25.97	Facility		$3.61	$12.91	$25.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $6.11 / $11.62	Professional		$1.95	$6.11	$11.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $7.50 / $10.91	Professional		$6.82	$7.50	$10.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $7.50	Professional		$1.80	$3.00	$7.50