Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $60.00 / $289.80	Facility		$17.55	$60.00	$289.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $20.94 / $32.35	Professional		$9.60	$20.94	$32.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.20 / $8.33	Professional		$6.00	$7.20	$8.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $13.20 / $21.24	Facility		$10.60	$13.20	$21.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $14.40	Professional		$5.92	$5.92	$14.40
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Facility		$7.56	$7.56	$7.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $9.60	Professional		$9.60	$9.60	$9.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $12.60 / $16.20	Facility		$9.63	$12.60	$16.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $12.00 / $19.76	Professional		$7.80	$12.00	$19.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $12.36 / $27.07	Facility		$7.80	$12.36	$27.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.63 / $17.46	Professional		$6.11	$9.63	$17.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $24.97 / $97.76	Facility		$8.61	$24.97	$97.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.36 / $21.24	Professional		$6.11	$9.36	$21.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.90 / $14.40	Professional		$9.00	$9.90	$14.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.20 / $15.85	Professional		$5.04	$7.20	$15.85