Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $35.34 / $99.19	Facility		$6.99	$35.34	$99.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.13 / $9.00	Professional		$4.33	$5.13	$9.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $8.96	Professional		$3.47	$3.47	$8.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $6.36 / $10.23	Facility		$5.09	$6.36	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $4.76	Professional		$2.86	$2.86	$4.76
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $4.62 / $4.62	Facility		$3.64	$4.62	$4.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.62 / $6.76	Professional		$4.05	$4.62	$6.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.07 / $7.80	Facility		$4.34	$6.07	$7.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.83 / $9.52	Professional		$3.76	$5.83	$9.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $5.96 / $13.03	Facility		$3.76	$5.96	$13.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $5.41 / $8.41	Professional		$2.97	$5.41	$8.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $20.71 / $103.83	Facility		$5.16	$20.71	$103.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.65 / $10.63	Professional		$2.52	$4.65	$10.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.77 / $6.94	Professional		$4.34	$4.77	$6.94
United Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $5.20	Facility		$2.08	$2.08	$5.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.55 / $9.32	Professional		$2.43	$3.55	$9.32