Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $33.76 / $90.90	Facility		$4.30	$33.76	$90.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.77 / $6.21	Professional		$2.35	$2.77	$6.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.90 / $4.91	Professional		$1.59	$1.90	$4.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $3.49 / $5.61	Facility		$2.80	$3.49	$5.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.90 / $5.74	Professional		$2.35	$3.90	$5.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.70	Professional		$2.54	$2.54	$3.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $3.33 / $4.28	Facility		$2.38	$3.33	$4.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.25 / $5.23	Professional		$2.06	$3.25	$5.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $3.26 / $9.03	Facility		$2.06	$3.26	$9.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $3.17 / $5.57	Professional		$1.65	$3.17	$5.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $21.93 / $63.90	Facility		$6.67	$21.93	$63.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $2.54 / $5.81	Professional		$1.27	$2.54	$5.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.61 / $3.80	Professional		$2.38	$2.61	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.15 / $4.43	Professional		$1.90	$3.15	$4.43