Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $26.92 / $93.33	Facility		$12.30	$26.92	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $44.67	Professional		$10.00	$11.48	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.91 / $14.79	Professional		$7.76	$8.91	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.44	Facility		$11.75	$13.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.31 / $9.33	Professional		$4.68	$6.31	$9.33
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.49 / $16.22	Facility		$12.88	$13.49	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $17.38	Professional		$8.32	$12.88	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $33.11	Facility		$8.32	$8.32	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.02 / $22.91	Professional		$6.61	$12.02	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.89 / $117.49	Facility		$10.47	$20.89	$117.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $9.12 / $23.99	Professional		$3.63	$9.12	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $15.85	Professional		$8.71	$10.72	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $25.70	Professional		$8.91	$13.80	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $12.88	Facility		$4.68	$8.91	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $15.85	Professional		$7.08	$9.33	$15.85