Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $19.19 / $197.42	Facility		$6.08	$19.19	$197.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $7.27	Professional		$5.29	$5.30	$7.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $5.29	Professional		$5.29	$5.29	$5.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $11.78 / $34.45	Facility		$7.95	$11.78	$34.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.15 / $10.00	Professional		$5.30	$6.15	$10.00
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $12.56 / $12.56	Facility		$12.56	$12.56	$12.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $5.30 / $7.87	Facility		$5.29	$5.30	$7.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $8.48	Professional		$5.29	$5.30	$8.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.30	Facility		$5.00	$5.00	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.45	Professional		$5.30	$5.30	$6.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $10.87 / $19.86	Facility		$4.33	$10.87	$19.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $7.50	Professional		$5.30	$5.30	$7.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.08 / $7.45	Professional		$5.29	$6.08	$7.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $6.45	Professional		$5.29	$5.30	$6.45