Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $27.54 / $89.13	Facility		$7.08	$27.54	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $36.31	Professional		$5.01	$5.89	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.89 / $10.00	Professional		$2.88	$3.89	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.92 / $12.02	Facility		$6.03	$6.92	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.89 / $5.75	Professional		$3.09	$3.89	$5.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.25 / $5.25	Professional		$4.57	$5.25	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.92 / $8.13	Facility		$6.46	$6.92	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.46 / $8.71	Professional		$4.27	$6.46	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $14.45	Facility		$4.27	$4.27	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.25 / $9.33	Professional		$3.31	$5.25	$9.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $23.99 / $56.23	Facility		$6.61	$23.99	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $2.88 / $11.75	Professional		$0.56	$2.88	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $8.13	Professional		$4.37	$5.37	$8.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.08 / $12.88	Professional		$4.57	$7.08	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.47 / $6.46	Facility		$2.29	$4.47	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.89 / $7.76	Professional		$2.75	$3.89	$7.76