Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $25.74 / $93.15	Facility		$13.51	$25.74	$93.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.22 / $15.40	Professional		$10.30	$11.22	$15.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $8.94	Professional		$7.72	$7.72	$8.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $14.16 / $22.78	Facility		$11.36	$14.16	$22.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.92 / $8.40	Professional		$4.63	$5.92	$8.40
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Facility		$8.11	$8.11	$8.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $13.51 / $17.37	Facility		$9.65	$13.51	$17.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.97 / $21.19	Professional		$8.36	$12.97	$21.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $13.26 / $32.75	Facility		$8.36	$13.26	$32.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $12.96 / $21.79	Professional		$6.60	$12.96	$21.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $26.29 / $103.32	Facility		$9.11	$26.29	$103.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.73 / $24.14	Professional		$4.59	$6.73	$24.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $10.61 / $15.44	Professional		$9.65	$10.61	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.58 / $15.89	Professional		$6.44	$8.58	$15.89