Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $20.00	Facility		$8.76	$8.76	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.76 / $11.82	Professional		$6.73	$8.76	$11.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $11.03	Professional		$5.73	$5.73	$11.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $17.92	Professional		$6.91	$6.91	$17.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $13.79 / $18.62	Facility		$10.34	$13.79	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $13.79 / $29.53	Professional		$8.96	$13.79	$29.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $8.28 / $16.16	Facility		$7.97	$8.28	$16.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $7.05 / $9.75	Professional		$7.05	$7.05	$9.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $8.28 / $8.28	Facility		$7.97	$8.28	$8.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $8.28 / $9.75	Professional		$7.05	$8.28	$9.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $8.43 / $11.06	Professional		$6.13	$8.43	$11.06
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.47 / $9.01	Professional		$4.51	$6.47	$9.01