Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $42.29 / $126.00	Facility		$14.62	$42.29	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.22 / $11.43	Professional		$8.44	$10.22	$11.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $7.94	Professional		$6.86	$6.86	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $12.57 / $20.23	Facility		$10.09	$12.57	$20.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $12.34	Professional		$5.64	$5.64	$12.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Facility		$7.20	$7.20	$7.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $13.35	Professional		$9.14	$9.14	$13.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $12.00 / $15.43	Facility		$8.57	$12.00	$15.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.43 / $18.82	Professional		$7.43	$11.43	$18.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $11.77 / $25.78	Facility		$7.43	$11.77	$25.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.17 / $16.64	Professional		$5.78	$9.17	$16.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $28.72 / $107.67	Facility		$10.19	$28.72	$107.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.17 / $21.81	Professional		$5.78	$9.17	$21.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.42 / $13.71	Professional		$8.57	$9.42	$13.71
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.86 / $15.98	Professional		$4.80	$6.86	$15.98