Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $21.56 / $52.37	Facility		$9.75	$21.56	$52.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $9.30 / $25.52	Professional		$6.71	$9.30	$25.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $5.17	Professional		$5.17	$5.17	$5.17
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 / $12.79	Professional		$5.09	$5.09	$12.79
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $6.51 / $6.51	Facility		$6.51	$6.51	$6.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $10.33 / $13.95	Facility		$7.55	$10.33	$13.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $13.43 / $13.95	Professional		$8.77	$13.43	$13.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $10.63 / $23.30	Facility		$6.71	$10.63	$23.30
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 $6.71 / $10.80 / $39.17	Facility		$6.71	$10.80	$39.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.69 / $13.87	Professional		$5.28	$6.69	$13.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.30 / $12.78	Professional		$7.75	$9.30	$12.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.20 / $14.14	Professional		$4.34	$6.20	$14.14