Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.42 / $46.77	Facility		$10.00	$20.42	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $20.89	Professional		$7.08	$8.91	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.47 / $18.20	Facility		$9.12	$10.47	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.03 / $12.59	Professional		$4.90	$6.03	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $11.48	Facility		$6.76	$6.76	$11.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $37.15	Facility		$6.46	$6.46	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.46 / $14.45	Professional		$4.90	$6.46	$14.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $20.89 / $63.10	Facility		$6.61	$20.89	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.41 / $15.49	Professional		$5.13	$7.41	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $12.30	Professional		$6.61	$8.13	$12.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.47 / $22.91	Professional		$6.46	$10.47	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.76 / $10.00	Facility		$3.55	$6.76	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.89 / $11.75	Professional		$4.17	$5.89	$11.75