Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $15.14 / $52.48	Facility		$6.61	$15.14	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $16.60	Professional		$6.03	$7.08	$16.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.50 / $10.23	Professional		$3.55	$5.50	$10.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.32 / $14.45	Facility		$7.24	$8.32	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.68 / $10.00	Professional		$3.72	$4.68	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $8.32 / $9.77	Facility		$5.37	$8.32	$9.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.94 / $10.72	Professional		$5.13	$7.94	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $16.60	Facility		$5.13	$5.13	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.92 / $14.45	Professional		$3.98	$6.92	$14.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.32 / $17.78	Facility		$5.13	$8.32	$17.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $13.18	Professional		$4.07	$5.01	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.46 / $9.77	Professional		$5.37	$6.46	$9.77
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.32 / $15.49	Professional		$5.13	$8.32	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.37 / $7.94	Facility		$2.82	$5.37	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $10.96	Professional		$3.31	$4.68	$10.96