Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $86.47 / $788.84	Facility		$8.14	$86.47	$788.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $77.18 / $184.91	Professional		$9.02	$77.18	$184.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.63 / $3.63	Professional		$3.13	$3.63	$3.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $5.74 / $9.24	Facility		$4.61	$5.74	$9.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.96 / $5.90	Professional		$2.58	$2.96	$5.90
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.29 / $3.29	Facility		$3.29	$3.29	$3.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.18 / $6.10	Professional		$4.18	$4.18	$6.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $5.48 / $7.05	Facility		$4.19	$5.48	$7.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.22 / $8.60	Professional		$3.39	$5.22	$8.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.37 / $11.76	Facility		$3.39	$5.37	$11.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.19 / $7.60	Professional		$2.64	$4.19	$7.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $10.80 / $36.40	Facility		$3.30	$10.80	$36.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $3.19 / $9.48	Professional		$1.42	$3.19	$9.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.31 / $6.27	Professional		$3.92	$4.31	$6.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.19 / $7.92	Professional		$2.19	$3.19	$7.92