Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $42.66 / $97.72	Facility		$7.94	$42.66	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $45.71	Professional		$5.75	$7.08	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.47 / $10.00	Professional		$3.31	$4.47	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.13 / $14.45	Facility		$7.08	$8.13	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.68 / $7.94	Professional		$3.72	$4.68	$7.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $10.72	Facility		$5.25	$5.25	$10.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.17 / $6.17	Professional		$5.50	$6.17	$6.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.13 / $9.77	Facility		$7.76	$8.13	$9.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.76 / $10.47	Professional		$5.01	$7.76	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.13 / $20.42	Facility		$5.01	$5.13	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.24 / $14.13	Professional		$3.98	$7.24	$14.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $36.31 / $81.28	Facility		$12.88	$36.31	$81.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $7.76 / $21.88	Professional		$3.09	$7.76	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.46 / $9.55	Professional		$5.25	$6.46	$9.55
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $12.88 / $16.98	Facility		$9.33	$12.88	$16.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.71 / $16.98	Professional		$5.50	$8.71	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.37 / $7.76	Facility		$2.69	$5.37	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.68 / $9.33	Professional		$3.24	$4.68	$9.33