Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $7.36 / $26.76	Facility		$3.14	$7.36	$26.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.72 / $4.37	Professional		$2.61	$2.72	$4.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.64	Professional		$2.18	$2.18	$3.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $4.00 / $6.44	Facility		$3.21	$4.00	$6.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.93	Professional		$1.48	$1.48	$3.93
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $2.91	Professional		$2.91	$2.91	$2.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $3.82 / $4.91	Facility		$2.73	$3.82	$4.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.64 / $6.00	Professional		$2.37	$3.64	$6.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $3.75 / $7.68	Facility		$2.37	$3.75	$7.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.41 / $5.16	Professional		$1.65	$2.41	$5.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $4.59 / $24.85	Facility		$2.37	$4.59	$24.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.40 / $5.38	Professional		$1.65	$2.40	$5.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.05 / $4.44	Professional		$2.78	$3.05	$4.44
United Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $3.28	Facility		$1.31	$1.31	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.18 / $4.55	Professional		$1.53	$2.18	$4.55