Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $42.33 / $91.80	Facility		$7.70	$42.33	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.24 / $7.21	Professional		$4.80	$5.24	$7.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.17 / $9.32	Professional		$3.61	$4.17	$9.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $6.61 / $10.64	Facility		$5.31	$6.61	$10.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $2.97 / $6.57	Professional		$2.97	$2.97	$6.57
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Facility		$3.79	$3.79	$3.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $7.01	Professional		$4.80	$4.80	$7.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $6.31 / $8.11	Facility		$4.51	$6.31	$8.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $6.16 / $9.90	Professional		$3.91	$6.16	$9.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $6.19 / $17.60	Facility		$3.91	$6.19	$17.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.82 / $8.77	Professional		$2.97	$4.82	$8.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $30.05 / $63.91	Facility		$10.98	$30.05	$63.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.66 / $11.35	Professional		$2.40	$4.66	$11.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.96 / $7.21	Professional		$4.51	$4.96	$7.21
United Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $6.01 / $6.01	Facility		$3.91	$6.01	$6.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.68 / $8.38	Professional		$2.52	$3.68	$8.38