Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $20.30 / $71.00	Facility		$9.96	$20.30	$71.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $8.44 / $9.71	Professional		$7.77	$8.44	$9.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.74 / $15.05	Professional		$5.83	$6.74	$15.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $10.68 / $17.18	Facility		$8.57	$10.68	$17.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $10.48	Professional		$4.80	$4.80	$10.48
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Facility		$6.12	$6.12	$6.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $10.19 / $13.11	Facility		$7.28	$10.19	$13.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.72 / $15.99	Professional		$6.31	$9.72	$15.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.00 / $27.72	Facility		$6.31	$10.00	$27.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $7.79 / $14.13	Professional		$4.95	$7.79	$14.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.44 / $62.45	Facility		$6.31	$12.44	$62.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $7.58 / $17.60	Professional		$4.95	$7.58	$17.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $8.00 / $11.64	Professional		$7.28	$8.00	$11.64
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.95 / $14.15	Professional		$4.08	$5.95	$14.15