Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $28.28 / $88.86	Facility		$10.83	$28.28	$88.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.63 / $9.19	Professional		$6.47	$7.63	$9.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.24 / $6.70	Professional		$4.37	$5.24	$6.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $9.61 / $15.47	Facility		$7.72	$9.61	$15.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $9.43	Professional		$4.32	$4.32	$9.43
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $5.51 / $5.51	Facility		$5.51	$5.51	$5.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $10.22	Professional		$6.12	$6.12	$10.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $9.18 / $11.80	Facility		$6.56	$9.18	$11.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $8.76 / $14.39	Professional		$5.68	$8.76	$14.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.68 / $9.00 / $24.99	Facility		$5.68	$9.00	$24.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.01 / $12.72	Professional		$4.46	$7.01	$12.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $20.73 / $74.36	Facility		$7.26	$20.73	$74.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.83 / $16.48	Professional		$3.50	$6.83	$16.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $7.21 / $10.49	Professional		$6.56	$7.21	$10.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $5.24 / $11.54	Professional		$3.67	$5.24	$11.54