Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $28.86 / $90.80	Facility		$10.34	$28.86	$90.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $8.61 / $17.22	Professional		$7.66	$8.61	$17.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $14.85	Professional		$5.75	$5.75	$14.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $10.54 / $16.95	Facility		$8.46	$10.54	$16.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $10.34	Professional		$4.73	$4.73	$10.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $6.04 / $6.04	Facility		$6.04	$6.04	$6.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.74 / $7.66	Professional		$6.74	$6.74	$7.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $10.06 / $12.93	Facility		$7.19	$10.06	$12.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $9.72 / $15.78	Professional		$6.23	$9.72	$15.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $9.86 / $35.38	Facility		$6.23	$9.86	$35.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.69 / $13.94	Professional		$4.79	$7.69	$13.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $18.76 / $64.27	Facility		$6.94	$18.76	$64.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.95 / $15.34	Professional		$4.43	$5.95	$15.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.90 / $11.50	Professional		$7.19	$7.90	$11.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.84 / $12.55	Professional		$3.47	$4.84	$12.55