Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $24.73 / $89.10	Facility		$8.02	$24.73	$89.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.66 / $7.75	Professional		$5.18	$5.66	$7.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.50 / $4.50	Professional		$3.24	$4.50	$4.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $7.13 / $11.47	Facility		$5.72	$7.13	$11.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.76 / $5.17	Professional		$3.07	$3.76	$5.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $4.08 / $4.08	Facility		$4.08	$4.08	$4.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $5.18	Professional		$4.54	$4.54	$5.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $6.80 / $8.75	Facility		$4.86	$6.80	$8.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.48 / $10.67	Professional		$4.21	$6.48	$10.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.67 / $18.98	Facility		$4.21	$6.67	$18.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $6.56 / $9.43	Professional		$3.30	$6.56	$9.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $27.45 / $63.26	Facility		$5.78	$27.45	$63.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $6.80 / $18.59	Professional		$3.30	$6.80	$18.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.34 / $7.77	Professional		$4.86	$5.34	$7.77
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Facility		$2.17	$2.17	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.90 / $9.06	Professional		$2.72	$3.90	$9.06