Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $12.88	Professional		$6.61	$8.91	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $25.70	Facility		$16.98	$18.20	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $30.20	Professional		$12.88	$14.45	$30.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $19.95	Professional		$18.62	$19.50	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $8.32 / $15.49	Facility		$1.05	$8.32	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $10.00 / $14.79	Professional		$1.35	$10.00	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $14.13	Facility		$10.72	$10.72	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $16.60	Professional		$9.12	$9.12	$16.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $16.60	Facility		$10.72	$10.72	$16.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.72 / $14.13	Professional		$9.12	$10.72	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $22.91	Professional		$11.48	$14.45	$22.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $31.62	Professional		$16.22	$19.05	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $7.59 / $12.30	Facility		$1.00	$7.59	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.33 / $14.45	Professional		$5.62	$9.33	$14.45