Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $39.65 / $85.50	Facility		$9.35	$39.65	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $6.01 / $12.12	Professional		$4.69	$6.01	$12.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.63	Professional		$4.01	$4.01	$4.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $7.35 / $11.82	Facility		$5.90	$7.35	$11.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $6.68	Professional		$3.30	$3.30	$6.68
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Professional		$5.34	$5.34	$5.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $7.01 / $9.02	Facility		$5.09	$7.01	$9.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.81 / $11.00	Professional		$4.34	$6.81	$11.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.87 / $24.15	Facility		$4.34	$6.87	$24.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.36 / $9.81	Professional		$3.47	$5.36	$9.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $12.73 / $43.46	Facility		$4.36	$12.73	$43.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.26 / $12.60	Professional		$3.31	$4.26	$12.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.51 / $8.01	Professional		$5.01	$5.51	$8.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.01 / $9.33	Professional		$2.81	$4.01	$9.33