Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $30.28 / $87.30	Facility		$7.31	$30.28	$87.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.65 / $7.76	Professional		$4.53	$5.65	$7.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.88 / $4.96	Professional		$3.24	$3.88	$4.96
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 $3.20 / $3.20 / $7.00	Professional		$3.20	$3.20	$7.00
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 $4.53 / $4.53 / $7.57	Professional		$4.53	$4.53	$7.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $6.79 / $8.73	Facility		$4.84	$6.79	$8.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.48 / $10.66	Professional		$4.21	$6.48	$10.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.67 / $14.60	Facility		$4.21	$6.67	$14.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.19 / $9.42	Professional		$3.30	$5.19	$9.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $18.73 / $64.61	Facility		$6.67	$18.73	$64.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $5.07 / $11.75	Professional		$2.59	$5.07	$11.75
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 Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.88 / $9.05	Professional		$2.72	$3.88	$9.05