Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $57.54 / $489.78	Facility		$8.51	$57.54	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.92 / $67.61	Professional		$6.03	$6.92	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $9.33	Professional		$3.98	$5.13	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.91 / $15.49	Facility		$7.76	$8.91	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.68 / $7.08	Professional		$3.47	$4.68	$7.08
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $11.75	Facility		$5.75	$5.75	$11.75
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.76 / $6.76	Professional		$5.89	$6.76	$6.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.91 / $10.47	Facility		$8.51	$8.91	$10.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.51 / $11.48	Professional		$5.50	$8.51	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $17.78	Facility		$5.50	$5.50	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $8.32 / $15.14	Professional		$4.27	$8.32	$15.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $50.12 / $120.23	Facility		$17.78	$50.12	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $8.51 / $19.50	Professional		$3.39	$8.51	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $10.47	Professional		$5.75	$6.92	$10.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $13.80	Facility		$10.23	$10.23	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.55 / $16.98	Professional		$5.89	$9.55	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $5.50 / $8.51	Facility		$2.95	$5.50	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.13 / $10.23	Professional		$3.55	$5.13	$10.23