Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.30 / $54.95	Facility		$5.75	$12.30	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.57 / $11.75	Professional		$3.98	$4.57	$11.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.03 / $10.47	Facility		$5.25	$6.03	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $7.24	Professional		$2.45	$3.09	$7.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.03 / $7.24	Facility		$3.63	$6.03	$7.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.75 / $7.76	Professional		$3.72	$5.75	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $12.02	Facility		$3.72	$3.72	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.31 / $8.32	Professional		$2.63	$3.31	$8.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $9.12 / $43.65	Facility		$3.72	$9.12	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.07 / $8.51	Professional		$2.82	$4.07	$8.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.79 / $7.08	Professional		$3.89	$4.79	$7.08
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.03 / $13.49	Professional		$3.72	$6.03	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.72 / $5.75	Facility		$2.04	$3.72	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.47 / $6.92	Professional		$2.40	$3.47	$6.92