Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $12.69 / $41.89	Facility		$4.29	$12.69	$41.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.94 / $5.25	Professional		$3.52	$3.94	$5.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $3.06	Professional		$2.64	$2.64	$3.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.84 / $7.79	Facility		$3.89	$4.84	$7.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $4.75	Professional		$2.18	$2.18	$4.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $2.77 / $2.77	Facility		$2.77	$2.77	$2.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $4.62 / $5.94	Facility		$3.53	$4.62	$5.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.54 / $7.24	Professional		$2.86	$4.54	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $4.53 / $17.22	Facility		$2.86	$4.53	$17.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.54 / $6.71	Professional		$2.31	$3.54	$6.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $5.64 / $18.67	Facility		$2.86	$5.64	$18.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.84 / $7.39	Professional		$2.31	$2.84	$7.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.63 / $5.28	Professional		$3.30	$3.63	$5.28
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $3.96	Facility		$1.58	$1.58	$3.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $2.65 / $6.16	Professional		$1.85	$2.65	$6.16