Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $32.81 / $97.17	Facility		$10.34	$32.81	$97.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.89 / $22.36	Professional		$5.51	$6.89	$22.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.30 / $5.38	Professional		$3.23	$4.30	$5.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $9.47 / $15.24	Facility		$7.60	$9.47	$15.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.21 / $12.57	Professional		$5.17	$8.21	$12.57
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.42 / $5.42	Facility		$5.42	$5.42	$5.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $9.03 / $11.62	Facility		$6.46	$9.03	$11.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.76 / $14.18	Professional		$5.60	$8.76	$14.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $8.86 / $18.14	Facility		$5.60	$8.86	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $6.35 / $12.39	Professional		$3.96	$6.35	$12.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $38.20 / $82.45	Facility		$13.92	$38.20	$82.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.30 / $10.86	Professional		$4.51	$6.30	$10.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.10 / $10.33	Professional		$6.46	$7.10	$10.33
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.23 / $10.33	Professional		$4.30	$7.23	$10.33