Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $24.82 / $95.40	Facility		$9.71	$24.82	$95.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.05 / $9.46	Professional		$6.07	$7.05	$9.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.84 / $5.62	Professional		$4.05	$4.84	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $8.90 / $14.32	Facility		$7.14	$8.90	$14.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $9.19	Professional		$4.00	$4.00	$9.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Facility		$5.09	$5.09	$5.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $9.46	Professional		$9.46	$9.46	$9.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.49 / $10.92	Facility		$6.17	$8.49	$10.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $8.11 / $13.32	Professional		$5.26	$8.11	$13.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $8.33 / $30.23	Facility		$5.26	$8.33	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.49 / $11.87	Professional		$4.13	$6.49	$11.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $29.00 / $70.08	Facility		$8.33	$29.00	$70.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.43 / $13.39	Professional		$3.43	$5.43	$13.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.67 / $9.71	Professional		$6.07	$6.67	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.84 / $11.31	Professional		$3.40	$4.84	$11.31