Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $21.38 / $74.13	Facility		$7.08	$21.38	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $25.12	Professional		$5.01	$6.03	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $12.59	Professional		$4.68	$4.68	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.24 / $12.59	Facility		$6.31	$7.24	$12.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.07 / $8.71	Professional		$3.39	$4.07	$8.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.08 / $8.51	Facility		$4.57	$7.08	$8.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.76 / $9.12	Professional		$4.47	$6.76	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $28.84	Facility		$4.47	$4.47	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.47 / $9.77	Professional		$3.47	$4.47	$9.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $44.67	Facility		$7.08	$15.14	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.50 / $12.59	Professional		$3.47	$5.50	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.62 / $8.51	Professional		$4.57	$5.62	$8.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.08 / $15.85	Professional		$4.47	$7.08	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.68 / $6.76	Facility		$2.45	$4.68	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.07 / $8.13	Professional		$2.88	$4.07	$8.13