Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $36.00 / $92.88	Facility		$13.59	$36.00	$92.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.88 / $23.00	Professional		$9.89	$11.88	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $9.16	Professional		$7.91	$7.91	$9.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $14.51 / $23.34	Facility		$11.65	$14.51	$23.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $14.24	Professional		$6.51	$6.51	$14.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $8.31 / $8.31	Facility		$8.31	$8.31	$8.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $10.55 / $15.40	Professional		$10.55	$10.55	$15.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $13.85 / $17.80	Facility		$10.59	$13.85	$17.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $13.29 / $21.73	Professional		$8.57	$13.29	$21.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $13.57 / $29.75	Facility		$8.57	$13.57	$29.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.58 / $19.19	Professional		$6.77	$10.58	$19.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $15.00 / $55.06	Facility		$8.57	$15.00	$55.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $17.70 / $38.44	Professional		$6.77	$17.70	$38.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $10.87 / $15.82	Professional		$9.89	$10.87	$15.82
United Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $11.87	Facility		$4.75	$4.75	$11.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.91 / $18.43	Professional		$5.54	$7.91	$18.43