Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $37.02 / $111.60	Facility		$13.31	$37.02	$111.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $9.65 / $12.89	Professional		$8.06	$9.65	$12.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.16 / $16.64	Professional		$5.37	$7.16	$16.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $11.81 / $19.01	Facility		$9.48	$11.81	$19.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $11.59	Professional		$5.30	$5.30	$11.59
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Facility		$6.77	$6.77	$6.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $12.54	Professional		$8.59	$8.59	$12.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $11.28 / $14.50	Facility		$8.61	$11.28	$14.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $10.74 / $17.69	Professional		$6.98	$10.74	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $11.06 / $28.24	Facility		$6.98	$11.06	$28.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.61 / $15.63	Professional		$5.45	$8.61	$15.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $20.10 / $77.08	Facility		$7.25	$20.10	$77.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $5.29 / $20.36	Professional		$2.59	$5.29	$20.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.86 / $12.89	Professional		$8.06	$8.86	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.35 / $14.18	Professional		$4.51	$7.35	$14.18