Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $38.02 / $138.04	Facility		$8.13	$38.02	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $43.65	Professional		$6.03	$7.24	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.50 / $12.59	Professional		$4.07	$5.50	$12.59
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 $3.98 / $4.90 / $10.72	Professional		$3.98	$4.90	$10.72
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 / $30.20	Facility		$5.25	$5.25	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $11.75	Professional		$4.17	$5.25	$11.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $44.67 / $104.71	Facility		$11.48	$44.67	$104.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.75 / $15.14	Professional		$2.69	$5.75	$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 / $14.13 / $17.78	Facility		$9.77	$14.13	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.91 / $17.78	Professional		$5.62	$8.91	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.50 / $8.13	Facility		$2.82	$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