Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $21.38 / $72.44	Facility		$5.89	$21.38	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $34.67	Professional		$3.98	$4.68	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $6.92	Professional		$2.19	$3.09	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.50 / $9.55	Facility		$4.79	$5.50	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $4.57	Professional		$2.45	$3.09	$4.57
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $4.17	Facility		$3.55	$3.55	$4.17
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.17	Professional		$3.63	$3.63	$4.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.50 / $6.46	Facility		$5.13	$5.50	$6.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $6.92	Professional		$3.39	$5.13	$6.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $10.96	Facility		$3.39	$3.39	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.79 / $9.12	Professional		$2.63	$4.79	$9.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $21.88 / $61.66	Facility		$5.50	$21.88	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.79 / $9.77	Professional		$2.04	$4.79	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.27 / $6.46	Professional		$3.47	$4.27	$6.46
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.51 / $11.22	Facility		$6.17	$8.51	$11.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.89 / $12.02	Professional		$3.63	$5.89	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.55 / $5.13	Facility		$1.86	$3.55	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $6.17	Professional		$2.19	$3.09	$6.17