Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $35.95 / $204.25	Facility		$9.42	$35.95	$204.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.56 / $12.14	Professional		$6.02	$7.56	$12.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.84 / $13.04	Professional		$5.05	$5.84	$13.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $9.25 / $14.88	Facility		$7.43	$9.25	$14.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.15 / $9.08	Professional		$4.15	$4.15	$9.08
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $5.30	Facility		$5.30	$5.30	$5.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $8.83 / $11.35	Facility		$6.41	$8.83	$11.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $8.43 / $13.85	Professional		$5.47	$8.43	$13.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $8.66 / $31.38	Facility		$5.47	$8.66	$31.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.75 / $12.24	Professional		$4.29	$6.75	$12.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $31.87 / $199.68	Facility		$7.51	$31.87	$199.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.75 / $14.47	Professional		$4.29	$6.75	$14.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.94 / $10.09	Professional		$6.31	$6.94	$10.09
United Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $8.41 / $8.41	Facility		$4.21	$8.41	$8.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.05 / $11.74	Professional		$3.53	$5.05	$11.74