Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $31.80 / $145.58	Facility		$13.25	$31.80	$145.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.51 / $13.25	Professional		$7.02	$9.51	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $9.21 / $20.54	Professional		$3.58	$9.21	$20.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $14.58 / $23.45	Facility		$11.70	$14.58	$23.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $18.09	Professional		$6.54	$6.54	$18.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $8.35 / $8.35	Facility		$8.35	$8.35	$8.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $13.91 / $17.89	Facility		$9.94	$13.91	$17.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.29 / $21.82	Professional		$8.61	$13.29	$21.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.64 / $50.24	Facility		$8.61	$13.64	$50.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.61 / $19.30	Professional		$6.77	$8.61	$19.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $19.14 / $105.68	Facility		$8.61	$19.14	$105.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.27 / $25.80	Professional		$6.77	$8.27	$25.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.93 / $15.90	Professional		$9.94	$10.93	$15.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.95 / $21.37	Professional		$5.57	$7.95	$21.37