Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $12.06 / $62.10	Facility		$5.78	$12.06	$62.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.62 / $5.78	Professional		$4.51	$4.62	$5.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $3.61	Professional		$3.61	$3.61	$3.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $6.36 / $10.23	Facility		$5.09	$6.36	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $6.24	Professional		$2.56	$2.56	$6.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.07 / $7.80	Facility		$4.34	$6.07	$7.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.83 / $9.52	Professional		$3.76	$5.83	$9.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $5.96 / $26.68	Facility		$3.76	$5.96	$26.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.15 / $8.26	Professional		$2.64	$4.15	$8.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $6.05 / $26.68	Facility		$3.76	$6.05	$26.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.15 / $5.51	Professional		$3.01	$4.15	$5.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.77 / $6.94	Professional		$4.34	$4.77	$6.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.47 / $7.63	Professional		$2.43	$3.47	$7.63