Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $22.91 / $91.20	Facility		$3.98	$22.91	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.02 / $33.88	Professional		$2.04	$3.02	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.19 / $5.01	Professional		$1.51	$2.19	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.31 / $5.89	Facility		$2.88	$3.31	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.89 / $6.46	Professional		$1.91	$3.89	$6.46
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Facility		$2.14	$2.14	$2.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.31 / $3.98	Facility		$3.16	$3.31	$3.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.16 / $4.27	Professional		$2.04	$3.16	$4.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $9.12	Facility		$2.04	$2.04	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $3.16 / $5.75	Professional		$1.66	$3.16	$5.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $21.38 / $63.10	Facility		$6.92	$21.38	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.51 / $5.75	Professional		$1.26	$2.51	$5.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.63 / $3.89	Professional		$2.14	$2.63	$3.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.62	Facility		$3.80	$3.80	$5.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.47 / $6.92	Professional		$2.24	$3.47	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.04 / $3.16	Facility		$1.12	$2.04	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.82 / $4.47	Professional		$1.91	$2.82	$4.47