Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $32.93 / $82.80	Facility		$5.49	$32.93	$82.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.53 / $5.88	Professional		$3.22	$3.53	$5.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.57 / $6.65	Professional		$2.15	$2.57	$6.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $4.72 / $7.59	Facility		$3.79	$4.72	$7.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $5.13 / $7.56	Professional		$2.57	$5.13	$7.56
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $2.70 / $2.70	Facility		$2.70	$2.70	$2.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $4.59	Professional		$3.43	$3.43	$4.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.50 / $5.79	Facility		$3.22	$4.50	$5.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.29 / $7.06	Professional		$2.79	$4.29	$7.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $4.42 / $9.03	Facility		$2.79	$4.42	$9.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $3.97 / $6.49	Professional		$1.98	$3.97	$6.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $19.98 / $49.03	Facility		$6.02	$19.98	$49.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.16 / $7.65	Professional		$1.74	$3.16	$7.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.54 / $5.15	Professional		$3.22	$3.54	$5.15
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.44 / $5.74	Professional		$2.15	$3.44	$5.74