Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $30.32 / $103.55	Facility		$7.32	$30.32	$103.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.39 / $9.77	Professional		$4.30	$5.39	$9.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.74 / $3.74	Professional		$3.23	$3.74	$3.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.93 / $9.53	Facility		$4.76	$5.93	$9.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $5.82	Professional		$2.66	$2.66	$5.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.40 / $3.40	Facility		$3.40	$3.40	$3.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $5.66 / $7.28	Facility		$4.11	$5.66	$7.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.51 / $8.86	Professional		$3.50	$5.51	$8.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $5.54 / $34.65	Facility		$3.50	$5.54	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.32 / $7.85	Professional		$2.81	$4.32	$7.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $18.89 / $74.95	Facility		$4.80	$18.89	$74.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.54 / $9.33	Professional		$2.81	$3.54	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.44 / $6.46	Professional		$4.04	$4.44	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.29 / $7.50	Professional		$2.25	$3.29	$7.50