Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $34.67 / $114.82	Facility		$12.88	$34.67	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $34.67	Professional		$10.00	$11.48	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.71 / $19.05	Professional		$7.59	$8.71	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.18 / $22.91	Facility		$11.48	$13.18	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $15.85	Professional		$6.17	$7.59	$15.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.18 / $15.85	Facility		$8.51	$13.18	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $16.98	Professional		$8.13	$12.59	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $41.69	Facility		$8.13	$8.13	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $22.91	Professional		$6.46	$8.13	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $32.36 / $87.10	Facility		$9.55	$32.36	$87.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.55 / $20.89	Professional		$5.01	$9.55	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $15.49	Professional		$8.51	$10.47	$15.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $29.51	Professional		$8.13	$13.18	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.71 / $12.59	Facility		$4.57	$8.71	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $15.14	Professional		$5.25	$7.59	$15.14