Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $19.87 / $75.97	Facility		$6.68	$19.87	$75.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.88 / $14.52	Professional		$4.30	$4.88	$14.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $8.35	Professional		$3.74	$3.74	$8.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.93 / $9.53	Facility		$4.76	$5.93	$9.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $5.82	Professional		$2.66	$2.66	$5.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.40 / $3.40	Facility		$3.40	$3.40	$3.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $5.66 / $7.55	Facility		$4.04	$5.66	$7.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.51 / $8.86	Professional		$3.50	$5.51	$8.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $5.54 / $20.10	Facility		$3.50	$5.54	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.32 / $7.85	Professional		$2.81	$4.32	$7.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $20.10 / $92.02	Facility		$3.52	$20.10	$92.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.32 / $10.18	Professional		$2.83	$4.32	$10.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.44 / $6.46	Professional		$4.04	$4.44	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.29 / $8.16	Professional		$2.25	$3.29	$8.16