Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $61.20 / $264.00	Facility		$10.98	$61.20	$264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.80 / $10.18	Professional		$7.29	$8.80	$10.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.11 / $6.11	Professional		$6.11	$6.11	$6.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $11.20 / $18.02	Facility		$8.99	$11.20	$18.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $10.99	Professional		$5.01	$5.01	$10.99
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Facility		$6.41	$6.41	$6.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $10.18 / $13.74	Facility		$8.17	$10.18	$13.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $13.23 / $13.74	Professional		$8.65	$13.23	$13.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $10.49 / $65.48	Facility		$6.62	$10.49	$65.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $8.16 / $14.82	Professional		$5.12	$8.16	$14.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $13.05 / $70.47	Facility		$6.66	$13.05	$70.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $8.16 / $17.05	Professional		$5.31	$8.16	$17.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $8.40 / $12.22	Professional		$7.64	$8.40	$12.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.11 / $16.42	Professional		$4.28	$7.11	$16.42