Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.55 / $12.02	Facility		$7.08	$9.55	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.08 / $10.00	Professional		$3.98	$7.08	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $14.79	Professional		$5.75	$6.92	$14.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.51 / $13.80	Facility		$5.75	$8.51	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $15.49	Professional		$7.41	$10.23	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.92 / $7.59	Facility		$6.46	$6.92	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.92	Professional		$5.89	$5.89	$6.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.92 / $15.49	Facility		$6.46	$6.92	$15.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.92	Professional		$5.89	$5.89	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.24 / $10.47	Professional		$5.25	$7.24	$10.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $23.99	Professional		$11.75	$13.18	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.79 / $7.24	Facility		$4.07	$4.79	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $7.24	Professional		$3.72	$5.37	$7.24