Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $16.84 / $79.80	Facility		$6.55	$16.84	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.36 / $12.28	Professional		$6.14	$7.36	$12.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $5.69 / $8.19	Professional		$4.91	$5.69	$8.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $9.01 / $14.49	Facility		$7.23	$9.01	$14.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.68 / $6.32	Professional		$3.87	$4.68	$6.32
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.16 / $5.16	Facility		$5.16	$5.16	$5.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Professional		$6.55	$6.55	$6.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $8.60 / $11.06	Facility		$6.14	$8.60	$11.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $8.19 / $13.49	Professional		$5.32	$8.19	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $8.42 / $18.48	Facility		$5.32	$8.42	$18.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $8.14 / $11.92	Professional		$4.13	$8.14	$11.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $8.57 / $37.19	Facility		$5.32	$8.57	$37.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.24 / $14.84	Professional		$4.38	$5.24	$14.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.75 / $9.82	Professional		$6.14	$6.75	$9.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.91 / $11.44	Professional		$3.44	$4.91	$11.44