Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $19.23 / $35.86	Facility		$9.39	$19.23	$35.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.72 / $9.69	Professional		$7.76	$8.72	$9.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $6.73 / $6.73	Professional		$5.82	$6.73	$6.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $10.67 / $17.17	Facility		$8.57	$10.67	$17.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $10.47	Professional		$4.79	$4.79	$10.47
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $6.11	Facility		$6.11	$6.11	$6.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $9.69 / $13.10	Facility		$6.47	$9.69	$13.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $12.61 / $13.10	Professional		$8.25	$12.61	$13.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.00 / $37.83	Facility		$6.31	$10.00	$37.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $7.78 / $14.11	Professional		$4.95	$7.78	$14.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.84 / $37.84	Facility		$6.31	$10.84	$37.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.31 / $18.17	Professional		$3.31	$6.31	$18.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $8.73 / $12.01	Professional		$7.28	$8.73	$12.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $5.82 / $13.55	Professional		$2.71	$5.82	$13.55