Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.30 / $66.07	Facility		$5.25	$12.30	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $28.18	Professional		$3.98	$4.68	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.47 / $5.13	Professional		$2.57	$3.47	$5.13
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
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.50 / $6.46	Facility		$5.13	$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 / $5.13 / $9.77	Professional		$2.63	$5.13	$9.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $16.22 / $48.98	Facility		$4.79	$16.22	$48.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.79 / $9.77	Professional		$2.04	$4.79	$9.77
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 / $8.51 / $11.22	Facility		$6.17	$8.51	$11.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.75 / $11.22	Professional		$3.63	$5.75	$11.22
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