Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $34.04 / $99.90	Facility		$8.82	$34.04	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.00 / $8.24	Professional		$5.51	$6.00	$8.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.78 / $10.68	Professional		$4.13	$4.78	$10.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $7.58 / $12.19	Facility		$6.08	$7.58	$12.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $7.44	Professional		$3.40	$3.40	$7.44
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.34 / $4.34	Facility		$4.34	$4.34	$4.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $5.51	Professional		$4.82	$4.82	$5.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $7.23 / $9.30	Facility		$5.17	$7.23	$9.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $6.89 / $11.35	Professional		$4.48	$6.89	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $7.10 / $15.53	Facility		$4.48	$7.10	$15.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.53 / $10.02	Professional		$3.47	$5.53	$10.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $45.31 / $92.23	Facility		$14.61	$45.31	$92.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $3.54 / $12.91	Professional		$1.84	$3.54	$12.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.68 / $8.27	Professional		$5.17	$5.68	$8.27
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.20 / $9.61	Professional		$2.89	$4.20	$9.61