Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $128.82	Facility		$12.88	$33.11	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $31.62	Professional		$9.33	$11.48	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $23.44	Professional		$6.31	$10.23	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.44	Facility		$11.75	$13.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $16.22	Professional		$6.31	$7.76	$16.22
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $15.85	Facility		$8.71	$13.49	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $17.38	Professional		$8.32	$12.88	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $40.74	Facility		$8.32	$8.32	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $18.20	Professional		$6.46	$8.13	$18.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $40.74 / $85.11	Facility		$13.18	$40.74	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.23 / $29.51	Professional		$6.46	$10.23	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $15.85	Professional		$8.71	$10.47	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.49 / $25.12	Professional		$8.32	$13.49	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.71 / $12.88	Facility		$4.57	$8.71	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $15.14	Professional		$5.37	$7.59	$15.14