Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $28.44 / $95.57	Facility		$10.56	$28.44	$95.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $8.43 / $13.62	Professional		$7.55	$8.43	$13.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $6.56 / $6.56	Professional		$5.66	$6.56	$6.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $10.38 / $16.71	Facility		$8.34	$10.38	$16.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.66 / $10.19	Professional		$3.96	$4.66	$10.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Facility		$5.95	$5.95	$5.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.91 / $12.74	Facility		$7.08	$9.91	$12.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $9.44 / $15.55	Professional		$6.14	$9.44	$15.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $9.73 / $31.86	Facility		$6.14	$9.73	$31.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.58 / $13.74	Professional		$4.79	$7.58	$13.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $17.14 / $54.84	Facility		$6.14	$17.14	$54.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.95 / $16.25	Professional		$4.79	$6.95	$16.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.78 / $11.32	Professional		$7.08	$7.78	$11.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $6.60 / $12.47	Professional		$3.96	$6.60	$12.47