Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $10.19 / $27.81	Facility		$4.33	$10.19	$27.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $4.40 / $5.84	Professional		$2.59	$4.40	$5.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.93 / $3.39	Professional		$2.44	$2.93	$3.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $5.37 / $8.64	Facility		$4.30	$5.37	$8.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $4.05	Professional		$2.41	$2.41	$4.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $5.12 / $6.59	Facility		$3.66	$5.12	$6.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.88 / $8.03	Professional		$3.17	$4.88	$8.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $5.01 / $11.03	Facility		$3.17	$5.01	$11.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $4.58 / $8.35	Professional		$2.48	$4.58	$8.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $5.09 / $27.83	Facility		$3.17	$5.09	$27.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.18 / $8.35	Professional		$2.88	$3.18	$8.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.02 / $5.85	Professional		$3.66	$4.02	$5.85
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.93 / $6.83	Professional		$2.04	$2.93	$6.83