Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.88 / $100.00	Facility		$16.22	$33.88	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $33.88	Professional		$12.02	$14.79	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.91 / $11.22	Professional		$8.13	$8.91	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $29.51	Facility		$14.79	$16.98	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $20.42	Professional		$7.94	$9.77	$20.42
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.98 / $20.42	Facility		$10.96	$16.98	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $21.88	Professional		$10.47	$16.22	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $51.29	Facility		$10.47	$10.47	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $23.44	Professional		$8.32	$10.47	$23.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.44 / $147.91	Facility		$10.47	$23.44	$147.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $10.23 / $26.92	Professional		$1.62	$10.23	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $19.95	Professional		$10.96	$13.49	$19.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $37.15	Professional		$10.47	$16.98	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.22 / $16.22	Facility		$5.75	$11.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $19.50	Professional		$6.76	$9.77	$19.50