Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $10.40 / $64.62	Facility		$3.67	$10.40	$64.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.40 / $4.86	Professional		$2.16	$2.40	$4.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.88 / $4.19	Professional		$1.62	$1.88	$4.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.38 / $2.97 / $4.78	Facility		$2.38	$2.97	$4.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.04 / $3.45	Professional		$1.62	$2.04	$3.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.16 / $3.15	Professional		$2.16	$2.16	$3.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.84 / $3.65	Facility		$2.02	$2.84	$3.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.70 / $4.45	Professional		$1.76	$2.70	$4.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $2.79 / $6.10	Facility		$1.76	$2.79	$6.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.16 / $3.93	Professional		$1.32	$2.16	$3.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $12.08 / $47.04	Facility		$2.54	$12.08	$47.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $1.15 / $5.05	Professional		$0.41	$1.15	$5.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.23 / $3.24	Professional		$2.02	$2.23	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.65 / $3.57	Professional		$1.12	$1.65	$3.57