Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $38.90 / $93.33	Facility		$6.61	$38.90	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $19.95	Professional		$5.01	$6.03	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.98 / $4.68	Professional		$3.55	$3.98	$4.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.08 / $12.30	Facility		$6.17	$7.08	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.07 / $8.51	Professional		$3.31	$4.07	$8.51
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Facility		$4.57	$4.57	$4.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.08 / $8.32	Facility		$5.13	$7.08	$8.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.61 / $9.12	Professional		$4.37	$6.61	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $23.99	Facility		$4.37	$4.37	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.37 / $9.77	Professional		$3.47	$4.37	$9.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $17.78 / $54.95	Facility		$6.03	$17.78	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $10.47	Professional		$3.31	$4.68	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $8.32	Professional		$4.47	$5.50	$8.32
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.08 / $15.49	Professional		$4.37	$7.08	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.57 / $6.61	Facility		$2.40	$4.57	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.98 / $7.94	Professional		$2.82	$3.98	$7.94