Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $29.28 / $99.00	Facility		$12.06	$29.28	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.70 / $10.69	Professional		$7.40	$7.70	$10.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.08 / $6.08	Professional		$4.86	$6.08	$6.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $10.69 / $17.20	Facility		$8.58	$10.69	$17.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $10.49	Professional		$4.20	$4.20	$10.49
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Facility		$6.12	$6.12	$6.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $7.78 / $7.78	Professional		$7.78	$7.78	$7.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $10.21 / $13.12	Facility		$7.29	$10.21	$13.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.72 / $16.01	Professional		$6.32	$9.72	$16.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $10.01 / $28.46	Facility		$6.32	$10.01	$28.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.82 / $13.94	Professional		$4.46	$6.82	$13.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $26.90 / $69.09	Facility		$8.68	$26.90	$69.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.54 / $16.00	Professional		$5.14	$6.54	$16.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.01 / $11.66	Professional		$7.29	$8.01	$11.66
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.83 / $12.73	Professional		$4.08	$5.83	$12.73