Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $12.26 / $67.04	Facility		$5.00	$12.26	$67.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.72 / $7.34	Professional		$3.33	$3.72	$7.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.56 / $2.97	Professional		$2.14	$2.56	$2.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $4.70 / $7.56	Facility		$3.77	$4.70	$7.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $4.61	Professional		$2.11	$2.11	$4.61
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.42 / $4.98	Professional		$3.42	$3.42	$4.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $4.48 / $5.76	Facility		$3.43	$4.48	$5.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.26 / $7.03	Professional		$2.78	$4.26	$7.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $4.40 / $12.20	Facility		$2.78	$4.40	$12.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.43 / $6.22	Professional		$2.15	$3.43	$6.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $12.13 / $42.94	Facility		$3.34	$12.13	$42.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.57 / $7.87	Professional		$1.62	$2.57	$7.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.52 / $5.12	Professional		$3.20	$3.52	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.56 / $5.96	Professional		$1.79	$2.56	$5.96