Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $10.19 / $41.32	Facility		$4.08	$10.19	$41.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.59 / $6.69	Professional		$4.08	$4.59	$6.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.54 / $3.54	Professional		$2.54	$3.54	$3.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $5.61 / $9.02	Facility		$4.50	$5.61	$9.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $2.52 / $5.09	Professional		$1.40	$2.52	$5.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Facility		$3.21	$3.21	$3.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $5.09 / $6.89	Facility		$2.99	$5.09	$6.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.63 / $6.89	Professional		$4.34	$6.63	$6.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $5.26 / $11.49	Facility		$3.32	$5.26	$11.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.09 / $7.41	Professional		$2.64	$4.09	$7.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $5.26 / $19.32	Facility		$3.32	$5.26	$19.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $3.12 / $7.51	Professional		$0.95	$3.12	$7.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.21 / $6.12	Professional		$3.83	$4.21	$6.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $2.29 / $6.68	Professional		$0.95	$2.29	$6.68