Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $16.71 / $30.64	Facility		$7.11	$16.71	$30.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.99 / $12.20	Professional		$7.11	$7.99	$12.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $13.78	Professional		$13.78	$13.78	$13.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $9.77 / $15.73	Facility		$7.85	$9.77	$15.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $5.04 / $6.86	Professional		$4.20	$5.04	$6.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Facility		$5.60	$5.60	$5.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $9.33 / $12.00	Facility		$6.98	$9.33	$12.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $8.89 / $14.64	Professional		$5.78	$8.89	$14.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $9.16 / $29.76	Facility		$5.78	$9.16	$29.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $8.32 / $12.93	Professional		$4.46	$8.32	$12.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $9.93 / $52.56	Facility		$5.81	$9.93	$52.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.95 / $14.89	Professional		$4.73	$6.95	$14.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.00 / $11.00	Professional		$6.67	$8.00	$11.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.33 / $12.41	Professional		$3.73	$5.33	$12.41