Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $21.69 / $118.00	Facility		$9.64	$21.69	$118.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.14 / $32.76	Professional		$9.64	$13.14	$32.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.53 / $7.53	Professional		$7.23	$7.53	$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 $4.82 / $4.82 / $12.05	Professional		$4.82	$4.82	$12.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
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 / $12.39 / $25.37	Facility		$7.83	$12.39	$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 / $12.40 / $68.75	Facility		$7.83	$12.40	$68.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $6.35 / $40.33	Professional		$3.66	$6.35	$40.33
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 Professional Modifier Low / Median / High Price $5.05 / $7.23 / $15.79	Professional		$5.05	$7.23	$15.79