Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $66.07 / $114.82	Facility		$16.60	$66.07	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $70.79	Professional		$28.84	$28.84	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $3.02	Professional		$0.03	$0.03	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.06 / $0.20	Facility		$0.03	$0.06	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.12	Professional		$0.03	$0.03	$0.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.15	Facility		$0.03	$0.03	$0.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.21	Professional		$0.03	$0.03	$0.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.05 / $0.07	Professional		$0.03	$0.05	$0.07
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04