Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $18.89 / $108.90	Facility		$7.01	$18.89	$108.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.73 / $9.22	Professional		$4.50	$5.73	$9.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.87 / $4.87	Professional		$4.21	$4.87	$4.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $7.71 / $12.41	Facility		$6.19	$7.71	$12.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.61 / $4.26	Professional		$2.14	$2.61	$4.26
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $4.42 / $4.42	Facility		$4.42	$4.42	$4.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Professional		$5.61	$5.61	$5.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $7.36 / $9.46	Facility		$5.26	$7.36	$9.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.13 / $11.55	Professional		$4.55	$7.13	$11.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $7.22 / $15.81	Facility		$4.55	$7.22	$15.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.56 / $10.33	Professional		$3.63	$6.56	$10.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $32.10 / $88.29	Facility		$5.18	$32.10	$88.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $4.74 / $11.96	Professional		$3.05	$4.74	$11.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.78 / $8.41	Professional		$5.26	$5.78	$8.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.86 / $9.80	Professional		$2.68	$3.86	$9.80