Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $33.42 / $77.70	Facility		$10.80	$33.42	$77.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.91 / $10.31	Professional		$9.64	$9.91	$10.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.23 / $7.53	Professional		$6.03	$7.23	$7.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $13.26 / $21.32	Facility		$10.64	$13.26	$21.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $4.61 / $12.05	Professional		$4.61	$4.61	$12.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $12.65 / $16.27	Facility		$10.24	$12.65	$16.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $12.05 / $19.84	Professional		$7.83	$12.05	$19.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $11.86 / $25.37	Facility		$7.83	$11.86	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $10.62 / $17.04	Professional		$5.45	$10.62	$17.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $13.05 / $76.59	Facility		$7.83	$13.05	$76.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.37 / $20.86	Professional		$5.45	$7.37	$20.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $9.94 / $14.46	Professional		$9.03	$9.94	$14.46
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.05 / $12.05	Facility		$6.03	$12.05	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $18.60	Professional		$4.84	$6.92	$18.60