Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $31.62 / $134.90	Facility		$9.33	$31.62	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $31.62	Professional		$6.61	$8.13	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.37 / $14.13	Professional		$4.07	$5.37	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.55 / $16.60	Facility		$8.32	$9.55	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.17 / $11.75	Professional		$4.47	$6.17	$11.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.24 / $7.24	Professional		$6.31	$7.24	$7.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.55 / $11.22	Facility		$9.12	$9.55	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $12.30	Professional		$5.89	$9.12	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $19.05	Facility		$5.89	$5.89	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.89 / $12.88	Professional		$4.57	$5.89	$12.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $26.92 / $93.33	Facility		$7.94	$26.92	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $6.46 / $16.98	Professional		$2.95	$6.46	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $11.22	Professional		$6.03	$7.41	$11.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $14.79	Facility		$10.72	$10.72	$14.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $19.50	Professional		$6.31	$10.23	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.17 / $9.12	Facility		$3.24	$6.17	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.37 / $10.72	Professional		$3.80	$5.37	$10.72