Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $27.41 / $111.60	Facility		$11.04	$27.41	$111.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $8.00 / $10.39	Professional		$7.12	$8.00	$10.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $6.18	Professional		$5.34	$5.34	$6.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $9.78 / $15.75	Facility		$7.86	$9.78	$15.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $9.74	Professional		$4.40	$4.40	$9.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Facility		$5.61	$5.61	$5.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.12 / $7.12	Professional		$7.12	$7.12	$7.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $9.35 / $12.02	Facility		$6.79	$9.35	$12.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $9.08 / $14.66	Professional		$5.79	$9.08	$14.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $9.17 / $26.07	Facility		$5.79	$9.17	$26.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.14 / $12.96	Professional		$4.46	$7.14	$12.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $16.85 / $78.42	Facility		$5.82	$16.85	$78.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $7.08 / $16.69	Professional		$3.56	$7.08	$16.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $7.34 / $10.68	Professional		$6.68	$7.34	$10.68
United Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Facility		$10.68	$10.68	$10.68
United Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.46 / $14.36	Professional		$3.74	$5.46	$14.36