Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $13.83 / $54.00	Facility		$6.26	$13.83	$54.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.14 / $6.65	Professional		$4.59	$5.14	$6.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $8.90	Professional		$3.99	$3.99	$8.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $6.31 / $10.16	Facility		$5.07	$6.31	$10.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.26 / $4.44	Professional		$2.72	$3.26	$4.44
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $3.62 / $3.62	Facility		$3.62	$3.62	$3.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $6.72	Professional		$4.59	$4.59	$6.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $6.03 / $7.75	Facility		$4.30	$6.03	$7.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.83 / $9.46	Professional		$3.73	$5.83	$9.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $5.91 / $12.95	Facility		$3.73	$5.91	$12.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $5.78 / $8.36	Professional		$2.97	$5.78	$8.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $7.36 / $44.10	Facility		$3.73	$7.36	$44.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.50 / $10.21	Professional		$1.96	$3.50	$10.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.74 / $6.89	Professional		$4.30	$4.74	$6.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.44 / $8.03	Professional		$2.41	$3.44	$8.03