Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $26.25 / $157.00	Facility		$12.04	$26.25	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.11 / $10.53	Professional		$8.71	$10.11	$10.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $8.06 / $8.06	Professional		$6.97	$8.06	$8.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $12.77 / $20.55	Facility		$10.25	$12.77	$20.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $12.53	Professional		$5.73	$5.73	$12.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $7.31 / $7.31	Facility		$7.31	$7.31	$7.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $13.54	Professional		$9.28	$9.28	$13.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.19 / $15.67	Facility		$8.71	$12.19	$15.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.67 / $19.12	Professional		$7.55	$11.67	$19.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $11.96 / $48.59	Facility		$7.55	$11.96	$48.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.31 / $16.89	Professional		$5.94	$9.31	$16.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $17.12 / $110.78	Facility		$7.55	$17.12	$110.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $8.66 / $20.32	Professional		$5.94	$8.66	$20.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.58 / $13.93	Professional		$8.71	$9.58	$13.93
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.11 / $16.92	Professional		$4.88	$7.11	$16.92