Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $35.17 / $85.16	Facility		$8.58	$35.17	$85.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.84 / $8.03	Professional		$5.03	$5.84	$8.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.01 / $10.39	Professional		$3.35	$4.01	$10.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $7.37 / $11.86	Facility		$5.92	$7.37	$11.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $7.23	Professional		$3.31	$3.31	$7.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $4.22 / $4.22	Facility		$4.22	$4.22	$4.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.36 / $6.74	Professional		$4.69	$5.36	$6.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $7.04 / $9.05	Facility		$5.03	$7.04	$9.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.81 / $11.04	Professional		$4.36	$6.81	$11.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $6.91 / $16.92	Facility		$4.36	$6.91	$16.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.38 / $9.81	Professional		$3.47	$5.38	$9.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $33.36 / $71.69	Facility		$12.61	$33.36	$71.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.49 / $12.33	Professional		$2.63	$4.49	$12.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.53 / $8.04	Professional		$5.03	$5.53	$8.04
United Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $8.03	Facility		$8.03	$8.03	$8.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.71 / $16.75	Professional		$2.81	$4.71	$16.75