Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $36.90 / $77.00	Facility		$13.58	$36.90	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $12.49 / $25.69	Professional		$11.51	$12.49	$25.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Professional		$9.99	$9.99	$9.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $15.83 / $25.47	Facility		$12.71	$15.83	$25.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.11 / $15.54	Professional		$6.04	$7.11	$15.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Facility		$9.07	$9.07	$9.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Professional		$11.51	$11.51	$11.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $14.39 / $19.43	Facility		$11.55	$14.39	$19.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $18.71 / $19.43	Professional		$12.23	$18.71	$19.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.81 / $92.56	Facility		$9.35	$14.81	$92.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.55 / $20.95	Professional		$7.26	$11.55	$20.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.81 / $92.56	Facility		$9.35	$14.81	$92.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $9.35 / $23.52	Professional		$7.26	$9.35	$23.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $11.86 / $17.26	Professional		$10.79	$11.86	$17.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $20.11	Professional		$6.04	$8.63	$20.11