Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $14.81 / $76.54	Facility		$6.61	$14.81	$76.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.75 / $9.07	Professional		$5.29	$5.75	$9.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.59 / $10.25	Professional		$3.31	$4.59	$10.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $7.27 / $11.70	Facility		$5.84	$7.27	$11.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $7.13	Professional		$3.26	$3.26	$7.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $4.16 / $4.16	Facility		$4.16	$4.16	$4.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $5.29	Professional		$5.29	$5.29	$5.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $6.94 / $8.92	Facility		$4.96	$6.94	$8.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.61 / $10.89	Professional		$4.30	$6.61	$10.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $6.81 / $24.70	Facility		$4.30	$6.81	$24.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.30 / $9.63	Professional		$3.30	$5.30	$9.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $9.57 / $44.60	Facility		$4.30	$9.57	$44.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.31 / $15.17	Professional		$4.04	$5.31	$15.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $5.45 / $7.93	Professional		$4.96	$5.45	$7.93
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.05 / $9.24	Professional		$2.78	$4.05	$9.24