Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $18.62 / $114.82	Facility		$6.17	$18.62	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $15.49	Professional		$5.01	$5.89	$15.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.47 / $4.47	Professional		$3.16	$4.47	$4.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.76 / $12.02	Facility		$5.89	$6.76	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.98 / $8.32	Professional		$3.16	$3.98	$8.32
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Facility		$4.37	$4.37	$4.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.76 / $8.13	Facility		$4.37	$6.76	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.46 / $8.71	Professional		$4.17	$6.46	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.27 / $23.99	Facility		$4.17	$4.27	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.17 / $9.33	Professional		$3.31	$4.17	$9.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $14.45 / $123.03	Facility		$5.75	$14.45	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.13 / $8.91	Professional		$3.31	$5.13	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $7.94	Professional		$4.37	$5.37	$7.94
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.76 / $15.14	Professional		$4.17	$6.76	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.47 / $6.46	Facility		$2.34	$4.47	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.89 / $9.12	Professional		$2.69	$3.89	$9.12