Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $21.00 / $92.70	Facility		$3.01	$21.00	$92.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.96 / $5.49	Professional		$1.80	$1.96	$5.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.56 / $3.49	Professional		$1.35	$1.56	$3.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.48 / $3.98	Facility		$1.99	$2.48	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.37 / $1.91	Professional		$1.06	$1.37	$1.91
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Facility		$1.42	$1.42	$1.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.80 / $1.80	Professional		$1.80	$1.80	$1.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.36 / $3.04	Facility		$1.69	$2.36	$3.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $2.27 / $3.71	Professional		$1.46	$2.27	$3.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $2.31 / $8.39	Facility		$1.46	$2.31	$8.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $2.27 / $3.72	Professional		$1.15	$2.27	$3.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $13.59 / $40.33	Facility		$4.24	$13.59	$40.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.80 / $5.82	Professional		$0.90	$1.80	$5.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.85 / $2.70	Professional		$1.69	$1.85	$2.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $2.25 / $3.14	Professional		$1.24	$2.25	$3.14