Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $77.62 / $323.59	Facility		$32.36	$77.62	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $46.77 / $707.95	Professional		$6.61	$46.77	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.96 / $10.96	Professional		$1.00	$10.96	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.24 / $0.72	Facility		$0.12	$0.24	$0.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.19	Professional		$0.11	$0.12	$0.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Facility		$0.10	$0.10	$0.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.25	Professional		$0.10	$0.10	$0.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $85.11	Facility		$0.10	$0.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.17	Professional		$0.11	$0.11	$0.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.68 / $2.40	Facility		$0.11	$0.68	$2.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.23	Professional		$0.11	$0.11	$0.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.15	Professional		$0.10	$0.12	$0.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.26	Professional		$0.11	$0.14	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13