Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $23.99 / $81.28	Facility		$9.77	$23.99	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $22.91	Professional		$7.08	$10.00	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $7.94 / $9.33	Professional		$4.07	$7.94	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.30 / $21.38	Facility		$10.72	$12.30	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $14.79	Professional		$5.75	$6.92	$14.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $14.45	Facility		$7.24	$12.02	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $15.49	Professional		$7.59	$11.48	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $30.20	Facility		$7.59	$7.59	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.59 / $16.60	Professional		$5.89	$7.59	$16.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $20.89 / $67.61	Facility		$7.59	$20.89	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.24 / $19.50	Professional		$3.63	$7.24	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $14.13	Professional		$7.76	$9.55	$14.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $26.92	Professional		$7.59	$12.02	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $7.59 / $11.48	Facility		$4.07	$7.59	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $13.80	Professional		$4.79	$6.92	$13.80