Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $21.00 / $97.44	Facility		$10.24	$21.00	$97.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.64 / $19.44	Professional		$8.32	$8.64	$19.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $6.30	Professional		$6.30	$6.30	$6.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $11.55 / $18.57	Facility		$9.27	$11.55	$18.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.43 / $7.60	Professional		$4.51	$5.43	$7.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $6.62	Facility		$6.62	$6.62	$6.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $8.40	Professional		$7.35	$7.35	$8.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $11.03 / $14.18	Facility		$7.88	$11.03	$14.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $10.50 / $17.29	Professional		$6.83	$10.50	$17.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $10.82 / $22.13	Facility		$6.83	$10.82	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.18 / $14.97	Professional		$4.79	$9.18	$14.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $13.97 / $59.55	Facility		$6.83	$13.97	$59.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.37 / $22.29	Professional		$4.79	$7.37	$22.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.66 / $12.60	Professional		$7.88	$8.66	$12.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $6.30 / $13.33	Professional		$4.41	$6.30	$13.33