Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.77 / $41.69	Facility		$4.27	$9.77	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $13.49	Professional		$3.02	$4.07	$13.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $7.94	Professional		$3.09	$3.09	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.68 / $8.32	Facility		$4.07	$4.68	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.69 / $5.75	Professional		$2.19	$2.69	$5.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.68 / $5.62	Facility		$3.02	$4.68	$5.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.47 / $6.03	Professional		$2.88	$4.47	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.95 / $11.75	Facility		$2.88	$2.95	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.63 / $7.76	Professional		$2.29	$3.63	$7.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $18.62 / $46.77	Facility		$4.57	$18.62	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.63 / $7.76	Professional		$2.29	$3.63	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.72 / $5.50	Professional		$3.02	$3.72	$5.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.68 / $10.47	Professional		$2.88	$4.68	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.09 / $4.47	Facility		$1.62	$3.09	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.69 / $5.37	Professional		$1.86	$2.69	$5.37