Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $17.38 / $85.11	Facility		$5.89	$17.38	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $15.85	Professional		$3.98	$5.01	$15.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.80 / $8.51	Professional		$2.51	$3.80	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.03 / $10.47	Facility		$5.25	$6.03	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.47 / $7.24	Professional		$2.82	$3.47	$7.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.57 / $4.57	Professional		$3.98	$4.57	$4.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.89 / $7.08	Facility		$5.62	$5.89	$7.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.62 / $7.59	Professional		$3.72	$5.62	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $19.05	Facility		$3.72	$3.72	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.72 / $8.32	Professional		$2.82	$3.72	$8.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $21.38 / $75.86	Facility		$5.75	$21.38	$75.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.57 / $10.47	Professional		$2.29	$4.57	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.68 / $7.08	Professional		$3.80	$4.68	$7.08
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.31 / $11.22	Professional		$3.98	$6.31	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.89 / $5.62	Facility		$2.04	$3.89	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.39 / $6.76	Professional		$2.40	$3.39	$6.76