Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $29.51 / $158.49	Facility		$7.94	$29.51	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $35.48	Professional		$6.03	$7.94	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $5.62	Professional		$4.79	$5.62	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.51 / $14.79	Facility		$7.41	$8.51	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $11.48	Professional		$3.98	$4.90	$11.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $9.12	Facility		$5.13	$5.13	$9.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.94 / $10.72	Professional		$5.25	$7.94	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $33.11	Facility		$5.25	$5.25	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $11.75	Professional		$4.17	$5.13	$11.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.13 / $44.67	Facility		$6.03	$14.13	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $13.49	Professional		$4.17	$5.25	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.61 / $10.00	Professional		$5.37	$6.61	$10.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.51 / $15.85	Professional		$5.25	$8.51	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.50 / $7.94	Facility		$2.88	$5.50	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $9.55	Professional		$3.39	$4.79	$9.55