Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.18 / $58.88	Facility		$12.88	$28.18	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $30.20	Professional		$10.00	$11.75	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.51 / $8.91	Professional		$7.94	$8.51	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $26.30	Facility		$13.18	$15.14	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $18.20	Professional		$6.46	$8.13	$18.20
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.14 / $17.78	Facility		$9.55	$15.14	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $19.50	Professional		$9.33	$14.45	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $43.65	Facility		$9.33	$9.33	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $20.42	Professional		$6.61	$8.32	$20.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $21.38 / $58.88	Facility		$9.77	$21.38	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.32 / $22.91	Professional		$5.25	$8.32	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $17.78	Professional		$9.55	$11.75	$17.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $28.18	Professional		$10.00	$15.14	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.33 / $14.45	Facility		$5.13	$9.33	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $17.38	Professional		$6.03	$8.51	$17.38