Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $15.08 / $66.20	Facility		$6.03	$15.08	$66.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.54 / $8.96	Professional		$4.01	$4.54	$8.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.48 / $7.78	Professional		$3.01	$3.48	$7.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $5.52 / $8.88	Facility		$4.43	$5.52	$8.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.48 / $4.26	Professional		$1.91	$2.48	$4.26
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $5.27 / $6.78	Facility		$3.77	$5.27	$6.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $5.18 / $8.27	Professional		$3.26	$5.18	$8.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $5.16 / $11.31	Facility		$3.26	$5.16	$11.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $5.03 / $8.78	Professional		$2.48	$5.03	$8.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $13.70 / $46.80	Facility		$4.36	$13.70	$46.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.21 / $9.10	Professional		$2.10	$3.21	$9.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $4.14 / $6.03	Professional		$3.77	$4.14	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.01 / $6.58	Professional		$2.11	$3.01	$6.58