Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $64.12 / $196.01	Facility		$15.27	$64.12	$196.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.86 / $11.89	Professional		$8.14	$8.86	$11.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.07 / $15.78	Professional		$6.11	$7.07	$15.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $11.20 / $18.02	Facility		$8.99	$11.20	$18.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $10.99	Professional		$5.01	$5.01	$10.99
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Facility		$6.41	$6.41	$6.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $10.69 / $13.74	Facility		$7.64	$10.69	$13.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $10.18 / $16.76	Professional		$6.62	$10.18	$16.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $10.49 / $22.95	Facility		$6.62	$10.49	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $8.16 / $14.82	Professional		$5.12	$8.16	$14.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $65.93 / $157.50	Facility		$18.32	$65.93	$157.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $7.97 / $18.91	Professional		$4.44	$7.97	$18.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $8.40 / $12.22	Professional		$7.64	$8.40	$12.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $10.18 / $10.18	Facility		$6.62	$10.18	$10.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $6.11 / $14.22	Professional		$4.28	$6.11	$14.22