Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $53.70 / $141.25	Facility		$9.77	$53.70	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $54.95	Professional		$6.03	$7.24	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.79 / $8.13	Professional		$4.07	$4.79	$8.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.51 / $14.79	Facility		$7.41	$8.51	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $6.92	Professional		$3.80	$4.79	$6.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.51 / $10.00	Facility		$8.13	$8.51	$10.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.13 / $10.96	Professional		$5.25	$8.13	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $33.11	Facility		$5.25	$5.25	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.59 / $14.45	Professional		$4.17	$7.59	$14.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $39.81 / $83.18	Facility		$12.30	$39.81	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $6.46 / $15.14	Professional		$2.95	$6.46	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.61 / $10.00	Professional		$5.50	$6.61	$10.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $17.78	Facility		$9.77	$9.77	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $17.78	Professional		$5.62	$9.12	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.50 / $8.13	Facility		$2.88	$5.50	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $9.77	Professional		$3.39	$4.79	$9.77