Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.88 / $45.87 / $128.78	Facility		$8.88	$45.87	$128.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $7.03 / $9.52	Professional		$5.65	$7.03	$9.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.38 / $12.51	Professional		$4.04	$5.38	$12.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $8.88 / $14.28	Facility		$7.13	$8.88	$14.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $8.71	Professional		$3.98	$3.98	$8.71
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $9.43	Professional		$6.46	$6.46	$9.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $8.47 / $10.89	Facility		$6.15	$8.47	$10.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.11 / $13.29	Professional		$5.25	$8.11	$13.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.32 / $30.16	Facility		$5.25	$8.32	$30.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.47 / $11.87	Professional		$4.13	$6.47	$11.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $41.02 / $101.65	Facility		$10.46	$41.02	$101.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $5.77 / $14.85	Professional		$2.97	$5.77	$14.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.65 / $9.68	Professional		$6.05	$6.65	$9.68
United Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $8.07 / $8.07	Facility		$4.04	$8.07	$8.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.86 / $11.28	Professional		$3.39	$4.86	$11.28