Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.97 / $89.25	Facility		$12.59	$26.97	$89.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $11.48 / $18.62	Professional		$8.39	$11.48	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $14.19 / $22.83	Facility		$11.39	$14.19	$22.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $13.93	Professional		$6.37	$6.37	$13.93
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $10.32	Professional		$10.32	$10.32	$10.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $12.90 / $17.42	Facility		$8.80	$12.90	$17.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $16.77 / $17.42	Professional		$10.97	$16.77	$17.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $13.29 / $53.97	Facility		$8.39	$13.29	$53.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.35 / $18.77	Professional		$6.60	$10.35	$18.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $13.51 / $54.64	Facility		$8.39	$13.51	$54.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $8.52 / $17.32	Professional		$6.60	$8.52	$17.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $10.64 / $15.48	Professional		$9.68	$10.64	$15.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.91 / $18.01	Professional		$5.42	$7.91	$18.01