Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.50 / $38.02	Facility		$10.23	$19.50	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $22.91	Professional		$8.91	$11.22	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.44	Facility		$11.75	$13.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $16.60	Professional		$6.31	$7.94	$16.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $14.79	Facility		$8.71	$8.71	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $26.92	Facility		$8.32	$8.32	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.32 / $23.99	Professional		$6.46	$8.32	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.49 / $44.67	Facility		$8.32	$13.49	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $17.78	Professional		$6.03	$8.13	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.48 / $15.85	Professional		$8.71	$11.48	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.49 / $29.51	Professional		$8.32	$13.49	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.71 / $12.88	Facility		$4.57	$8.71	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $15.49	Professional		$5.37	$7.59	$15.49