Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $24.75 / $38.00	Facility		$10.46	$24.75	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.33 / $13.83	Professional		$7.60	$10.33	$13.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.02 / $8.02	Professional		$5.79	$8.02	$8.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $12.73 / $20.48	Facility		$10.22	$12.73	$20.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $12.49	Professional		$5.71	$5.71	$12.49
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $7.29	Facility		$7.29	$7.29	$7.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $13.51	Professional		$9.26	$9.26	$13.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $12.15 / $15.62	Facility		$8.68	$12.15	$15.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $11.67 / $19.05	Professional		$7.52	$11.67	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $11.91 / $30.79	Facility		$7.52	$11.91	$30.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.27 / $16.82	Professional		$5.94	$9.27	$16.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $11.91 / $43.84	Facility		$7.52	$11.91	$43.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $9.28 / $19.39	Professional		$6.02	$9.28	$19.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $9.54 / $13.88	Professional		$8.68	$9.54	$13.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.94 / $16.16	Professional		$4.86	$6.94	$16.16