Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $11.22 / $7,943.28	Facility		$5.62	$11.22	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $10.96	Professional		$5.01	$5.01	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.12 / $19.95	Facility		$6.03	$9.12	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.31 / $9.77	Professional		$5.62	$6.31	$9.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.62	Facility		$5.25	$5.25	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $10.72	Professional		$5.62	$5.62	$10.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.62 / $45.71	Facility		$5.25	$5.62	$45.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $37.15	Professional		$5.62	$5.62	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $8.13	Professional		$5.62	$7.08	$8.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.33 / $12.88	Professional		$5.50	$9.33	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.75	Facility		$5.62	$5.62	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $6.17	Professional		$5.62	$5.62	$6.17