Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $31.62 / $97.72	Facility		$6.61	$31.62	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $15.85	Professional		$5.01	$6.03	$15.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.57 / $12.30	Professional		$2.95	$4.57	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.92 / $12.30	Facility		$6.03	$6.92	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.17 / $8.71	Professional		$3.24	$4.17	$8.71
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.92 / $8.32	Facility		$5.01	$6.92	$8.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.61 / $8.91	Professional		$4.27	$6.61	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.37 / $13.80	Facility		$4.27	$4.37	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.75 / $12.59	Professional		$3.31	$5.75	$12.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $40.74 / $91.20	Facility		$7.59	$40.74	$91.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.17 / $19.95	Professional		$3.31	$6.17	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $8.13	Professional		$4.47	$5.50	$8.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $14.45	Facility		$7.94	$7.94	$14.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.24 / $14.45	Professional		$4.68	$7.24	$14.45
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 $2.75 / $3.98 / $7.94	Professional		$2.75	$3.98	$7.94