Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $55.31 / $211.50	Facility		$12.42	$55.31	$211.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $8.42 / $27.90	Professional		$7.79	$8.42	$27.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.58 / $6.46	Professional		$4.65	$5.58	$6.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $10.23 / $16.46	Facility		$8.21	$10.23	$16.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $10.03	Professional		$4.59	$4.59	$10.03
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $5.86 / $5.86	Facility		$5.86	$5.86	$5.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $10.86	Professional		$7.44	$7.44	$10.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $9.77 / $12.56	Facility		$6.98	$9.77	$12.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.41 / $15.32	Professional		$6.05	$9.41	$15.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $9.58 / $31.14	Facility		$6.05	$9.58	$31.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.46 / $13.55	Professional		$4.79	$7.46	$13.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $26.49 / $88.56	Facility		$8.00	$26.49	$88.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $6.51 / $16.87	Professional		$3.69	$6.51	$16.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $7.67 / $11.16	Professional		$6.98	$7.67	$11.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $6.50 / $12.28	Professional		$3.91	$6.50	$12.28