Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $27.09 / $57.60	Facility		$10.38	$27.09	$57.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $11.60 / $34.97	Professional		$9.60	$11.60	$34.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $7.79 / $9.02	Professional		$7.79	$7.79	$9.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $14.28 / $22.97	Facility		$11.46	$14.28	$22.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.41 / $12.98	Professional		$6.41	$6.41	$12.98
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Facility		$8.18	$8.18	$8.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $12.98 / $17.52	Facility		$8.86	$12.98	$17.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $16.87 / $17.52	Professional		$11.03	$16.87	$17.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $13.37 / $37.25	Facility		$8.44	$13.37	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.42 / $18.89	Professional		$6.60	$10.42	$18.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $13.37 / $49.25	Facility		$8.44	$13.37	$49.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $8.19 / $17.42	Professional		$3.67	$8.19	$17.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $10.71 / $15.58	Professional		$9.74	$10.71	$15.58
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $7.14 / $18.14	Professional		$2.80	$7.14	$18.14