Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $30.23 / $104.40	Facility		$10.14	$30.23	$104.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $7.30 / $14.00	Professional		$6.54	$7.30	$14.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
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 $3.59 / $4.45 / $6.80	Professional		$3.59	$4.45	$6.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.15	Facility		$5.15	$5.15	$5.15
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 / $28.16	Facility		$5.31	$8.41	$28.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $7.65 / $13.92	Professional		$4.13	$7.65	$13.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $27.19 / $92.12	Facility		$8.41	$27.19	$92.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.56 / $12.87	Professional		$4.13	$6.56	$12.87
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 Professional Modifier Low / Median / High Price $4.09 / $7.76 / $11.35	Professional		$4.09	$7.76	$11.35