Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $13.84 / $45.00	Facility		$6.11	$13.84	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.78 / $9.35	Professional		$4.21	$5.78	$9.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $7.12 / $11.45	Facility		$5.71	$7.12	$11.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $6.98	Professional		$3.19	$3.19	$6.98
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $4.08 / $4.08	Facility		$4.08	$4.08	$4.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Professional		$5.18	$5.18	$5.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.41 / $6.47 / $8.73	Facility		$4.41	$6.47	$8.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.41 / $8.73	Professional		$5.50	$8.41	$8.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.67 / $27.08	Facility		$4.21	$6.67	$27.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.19 / $9.41	Professional		$3.30	$5.19	$9.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.78 / $36.96	Facility		$4.21	$6.78	$36.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $5.19 / $8.68	Professional		$3.36	$5.19	$8.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.33 / $7.76	Professional		$4.84	$5.33	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.88 / $9.03	Professional		$2.72	$3.88	$9.03