Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $23.99 / $128.82	Facility		$10.96	$23.99	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $17.38	Professional		$8.91	$10.72	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $21.88	Facility		$10.96	$12.59	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $15.14	Professional		$5.89	$7.24	$15.14
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.59 / $15.14	Facility		$9.12	$12.59	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $16.22	Professional		$7.76	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $44.67	Facility		$7.76	$7.76	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $16.98	Professional		$6.17	$7.76	$16.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $30.90 / $97.72	Facility		$10.72	$30.90	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $19.50	Professional		$6.17	$8.91	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $14.79	Professional		$8.13	$9.77	$14.79
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.59 / $23.99	Professional		$7.76	$12.59	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $8.32 / $12.02	Facility		$4.27	$8.32	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $15.85	Professional		$5.01	$7.24	$15.85