Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $56.68 / $138.44	Facility		$12.66	$56.68	$138.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.54 / $15.08	Professional		$6.06	$7.54	$15.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.19 / $13.41	Professional		$4.33	$5.19	$13.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $9.52 / $15.31	Facility		$7.64	$9.52	$15.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $9.34	Professional		$4.26	$4.26	$9.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Facility		$5.45	$5.45	$5.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $9.02	Professional		$6.92	$6.92	$9.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $9.08 / $11.68	Facility		$6.60	$9.08	$11.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.76 / $14.24	Professional		$5.62	$8.76	$14.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.90 / $34.52	Facility		$5.62	$8.90	$34.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.94 / $12.59	Professional		$4.46	$6.94	$12.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $44.14 / $104.51	Facility		$10.81	$44.14	$104.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $6.07 / $14.95	Professional		$3.37	$6.07	$14.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $7.13 / $10.38	Professional		$6.49	$7.13	$10.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.19 / $12.08	Professional		$3.63	$5.19	$12.08