Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $23.99 / $128.82	Facility		$9.77	$23.99	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $60.26	Professional		$8.91	$10.72	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $7.59	Professional		$5.37	$7.59	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $22.39	Facility		$10.96	$12.88	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $13.80	Professional		$4.79	$6.03	$13.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.59 / $15.14	Facility		$12.02	$12.59	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $16.22	Professional		$7.94	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $15.85	Facility		$7.94	$7.94	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $14.79	Professional		$5.50	$7.08	$14.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.59 / $109.65	Facility		$7.94	$12.59	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.46 / $14.79	Professional		$4.47	$6.46	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $14.45	Professional		$9.12	$10.00	$14.45
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $23.99	Professional		$8.51	$12.88	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.94 / $12.02	Facility		$4.37	$7.94	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $12.02	Professional		$5.13	$7.24	$12.02