Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $30.47 / $101.36	Facility		$8.42	$30.47	$101.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $6.55 / $11.27	Professional		$6.02	$6.55	$11.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.51 / $5.23	Professional		$3.76	$4.51	$5.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $8.27 / $13.31	Facility		$6.64	$8.27	$13.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.34 / $5.98	Professional		$3.55	$4.34	$5.98
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Facility		$4.74	$4.74	$4.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $8.77 / $8.77	Professional		$8.77	$8.77	$8.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $7.90 / $10.15	Facility		$5.64	$7.90	$10.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.52 / $12.38	Professional		$4.88	$7.52	$12.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $7.75 / $16.98	Facility		$4.88	$7.75	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.67 / $12.97	Professional		$3.80	$7.67	$12.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $37.57 / $89.83	Facility		$9.98	$37.57	$89.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $6.04 / $12.42	Professional		$4.18	$6.04	$12.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.20 / $9.02	Professional		$5.64	$6.20	$9.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.51 / $9.93	Professional		$3.16	$4.51	$9.93