Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $31.12 / $139.50	Facility		$12.80	$31.12	$139.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.00 / $12.34	Professional		$7.75	$9.00	$12.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $6.20 / $16.01	Professional		$5.17	$6.20	$16.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $11.36 / $18.28	Facility		$9.11	$11.36	$18.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $11.15	Professional		$5.09	$5.09	$11.15
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $6.51 / $6.51	Facility		$6.51	$6.51	$6.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $8.26 / $10.87	Professional		$8.26	$8.26	$10.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $10.85 / $13.95	Facility		$7.75	$10.85	$13.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $10.37 / $17.01	Professional		$6.71	$10.37	$17.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.63 / $34.76	Facility		$6.71	$10.63	$34.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.28 / $15.04	Professional		$5.28	$8.28	$15.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $28.24 / $91.40	Facility		$10.48	$28.24	$91.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.32 / $17.98	Professional		$4.30	$7.32	$17.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $8.52 / $12.40	Professional		$7.75	$8.52	$12.40
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.20 / $14.14	Professional		$4.34	$6.20	$14.14