Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $18.00 / $67.63	Facility		$4.91	$18.00	$67.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.21 / $5.04	Professional		$2.94	$3.21	$5.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.20 / $2.54	Professional		$1.84	$2.20	$2.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.04 / $6.49	Facility		$3.24	$4.04	$6.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $3.96	Professional		$1.81	$1.81	$3.96
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $4.28	Professional		$2.94	$2.94	$4.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.85 / $4.95	Facility		$2.75	$3.85	$4.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.67 / $6.04	Professional		$2.39	$3.67	$6.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $3.79 / $13.70	Facility		$2.39	$3.79	$13.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.94 / $5.33	Professional		$1.82	$2.94	$5.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $14.83 / $50.35	Facility		$3.78	$14.83	$50.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.93 / $6.87	Professional		$1.49	$2.93	$6.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.02 / $4.40	Professional		$2.75	$3.02	$4.40
United Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Facility		$4.40	$4.40	$4.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.20 / $5.35	Professional		$1.54	$2.20	$5.35