Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.48 / $56.23	Facility		$5.01	$11.48	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.68 / $18.62	Professional		$3.39	$4.68	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.47 / $3.63	Professional		$2.19	$3.47	$3.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.50 / $9.55	Facility		$4.79	$5.50	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $4.68	Professional		$2.45	$3.09	$4.68
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.50 / $6.46	Facility		$3.47	$5.50	$6.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $6.92	Professional		$3.39	$5.13	$6.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $10.96	Facility		$3.39	$3.39	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.17 / $7.24	Professional		$2.63	$4.17	$7.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $11.75 / $39.81	Facility		$4.79	$11.75	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.68 / $9.12	Professional		$2.40	$4.68	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.27 / $6.46	Professional		$3.47	$4.27	$6.46
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.50 / $12.02	Professional		$3.39	$5.50	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.55 / $5.13	Facility		$1.86	$3.55	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $6.17	Professional		$2.19	$3.09	$6.17