Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $154.88 / $281.84	Facility		$5.89	$154.88	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $81.28	Professional		$3.98	$5.01	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.13 / $8.91	Professional		$4.90	$5.13	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.47 / $31.62	Facility		$5.25	$10.47	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $9.12	Professional		$4.79	$5.37	$9.12
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $4.79	Facility		$4.57	$4.57	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $15.49	Professional		$4.79	$4.79	$15.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $13.49 / $47.86	Facility		$4.57	$13.49	$47.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $15.49	Professional		$4.79	$4.79	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $7.08	Professional		$4.79	$6.03	$7.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.13 / $11.22	Professional		$4.79	$8.13	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.25	Professional		$4.79	$4.79	$5.25