Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.45 / $5,495.41	Facility		$7.24	$14.45	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.55	Professional		$7.08	$7.08	$9.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $13.49 / $47.86	Facility		$7.94	$13.49	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.94 / $12.88	Professional		$7.24	$7.94	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.24	Facility		$6.92	$6.92	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $11.22	Professional		$7.24	$7.24	$11.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.24	Facility		$6.92	$6.92	$7.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $11.22	Professional		$7.24	$7.24	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $10.47	Professional		$7.24	$9.12	$10.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.30 / $16.98	Professional		$7.24	$12.30	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $7.24	Facility		$6.03	$7.24	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.94	Professional		$7.24	$7.24	$7.94