Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $25.18 / $191.41	Facility		$9.15	$25.18	$191.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.57 / $9.52	Professional		$6.04	$6.57	$9.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.45 / $12.66	Professional		$4.09	$5.45	$12.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $8.99 / $14.46	Facility		$7.21	$8.99	$14.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $8.82	Professional		$4.04	$4.04	$8.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.15	Facility		$5.15	$5.15	$5.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.54 / $7.38	Professional		$5.72	$6.54	$7.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $8.58 / $11.03	Facility		$6.13	$8.58	$11.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $8.17 / $13.46	Professional		$5.31	$8.17	$13.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $8.41 / $18.44	Facility		$5.31	$8.41	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.56 / $11.89	Professional		$4.13	$6.56	$11.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $35.85 / $119.35	Facility		$9.02	$35.85	$119.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.22 / $15.03	Professional		$3.49	$5.22	$15.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.74 / $9.80	Professional		$6.13	$6.74	$9.80
United Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $8.17 / $8.17	Facility		$5.31	$8.17	$8.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.90 / $10.70	Professional		$3.43	$4.90	$10.70