Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $19.73 / $167.20	Facility		$6.08	$19.73	$167.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.59 / $7.00	Professional		$4.09	$4.59	$7.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $7.94	Professional		$3.07	$3.07	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.63 / $9.06	Facility		$4.51	$5.63	$9.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $5.81	Professional		$2.52	$2.52	$5.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Facility		$3.23	$3.23	$3.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $5.98	Professional		$4.09	$4.09	$5.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $5.38 / $6.91	Facility		$3.84	$5.38	$6.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.18 / $8.43	Professional		$3.33	$5.18	$8.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $5.27 / $11.56	Facility		$3.33	$5.27	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.80 / $7.45	Professional		$2.64	$4.80	$7.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $15.49 / $48.62	Facility		$5.12	$15.49	$48.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.85 / $9.10	Professional		$2.64	$3.85	$9.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $4.22 / $6.14	Professional		$3.84	$4.22	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.07 / $7.46	Professional		$2.15	$3.07	$7.46