Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $57.82 / $379.10	Facility		$8.73	$57.82	$379.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.77 / $10.15	Professional		$6.30	$6.77	$10.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.62 / $13.11	Professional		$4.23	$5.62	$13.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $9.31 / $14.97	Facility		$7.47	$9.31	$14.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.30 / $6.30	Professional		$3.47	$4.30	$6.30
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.77 / $8.57	Professional		$5.92	$6.77	$8.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $8.88 / $11.42	Facility		$6.35	$8.88	$11.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.46 / $13.93	Professional		$5.50	$8.46	$13.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.71 / $19.07	Facility		$5.50	$8.71	$19.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $8.40 / $12.31	Professional		$4.29	$8.40	$12.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $48.74 / $117.12	Facility		$16.48	$48.74	$117.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $6.79 / $16.50	Professional		$3.69	$6.79	$16.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.98 / $10.16	Professional		$6.35	$6.98	$10.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.08 / $13.65	Professional		$3.55	$5.08	$13.65