Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $116.00	Professional		$0.02	$0.02	$116.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $18.09	Professional		$3.74	$3.74	$18.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $50.46 / $50.46	Facility		$50.46	$50.46	$50.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $22.90 / $29.44	Facility		$16.36	$22.90	$29.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $21.81 / $35.92	Professional		$14.18	$21.81	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.52 / $4.19	Facility		$0.35	$1.52	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.57 / $24.26	Professional		$11.06	$12.57	$24.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.52 / $7.36	Facility		$0.35	$1.52	$7.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $11.06 / $70.34	Professional		$6.13	$11.06	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.78 / $28.60	Professional		$7.43	$10.78	$28.60