Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $14.37 / $59.40	Facility		$6.79	$14.37	$59.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.82 / $6.47	Professional		$4.84	$5.82	$6.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.49	Professional		$3.88	$3.88	$4.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $7.12 / $11.45	Facility		$5.71	$7.12	$11.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $7.08	Professional		$3.19	$3.19	$7.08
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $4.08 / $4.08	Facility		$4.08	$4.08	$4.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $7.56	Professional		$5.18	$5.18	$7.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $6.79 / $8.73	Facility		$4.84	$6.79	$8.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.48 / $10.66	Professional		$4.21	$6.48	$10.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.67 / $21.66	Facility		$4.21	$6.67	$21.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.19 / $9.41	Professional		$3.30	$5.19	$9.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.78 / $41.60	Facility		$4.21	$6.78	$41.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $6.06 / $11.74	Professional		$3.30	$6.06	$11.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.33 / $7.76	Professional		$4.84	$5.33	$7.76
United Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $6.47 / $6.47	Facility		$4.21	$6.47	$6.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.88 / $8.53	Professional		$2.72	$3.88	$8.53