Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $34.67 / $117.49	Facility		$11.48	$34.67	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $32.36	Professional		$8.91	$10.96	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.32 / $21.38	Professional		$5.37	$8.32	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $22.39	Facility		$10.96	$12.59	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $15.49	Professional		$5.89	$7.41	$15.49
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
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 $7.76 / $12.02 / $16.22	Professional		$7.76	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.94 / $25.12	Facility		$7.76	$7.94	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $22.91	Professional		$6.17	$7.94	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.92 / $100.00	Facility		$10.72	$26.92	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.55 / $19.95	Professional		$4.79	$9.55	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $14.79	Professional		$8.13	$10.00	$14.79
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 / $13.18 / $23.99	Professional		$8.51	$13.18	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.32 / $12.02	Facility		$4.37	$8.32	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $14.45	Professional		$5.01	$7.24	$14.45