Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $26.10 / $97.20	Facility		$4.04	$26.10	$97.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.69 / $3.56	Professional		$2.33	$2.69	$3.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.08 / $2.99	Professional		$1.79	$2.08	$2.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.29 / $5.29	Facility		$2.64	$3.29	$5.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $4.79	Professional		$1.48	$1.48	$4.79
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Facility		$1.88	$1.88	$1.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.39 / $3.48	Professional		$2.39	$2.39	$3.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.14 / $4.19	Facility		$2.24	$3.14	$4.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.99 / $4.92	Professional		$1.94	$2.99	$4.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $3.07 / $12.49	Facility		$1.94	$3.07	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $2.40 / $4.34	Professional		$1.49	$2.40	$4.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $28.10 / $69.83	Facility		$6.29	$28.10	$69.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.31 / $5.60	Professional		$1.20	$2.31	$5.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.46 / $3.58	Professional		$2.24	$2.46	$3.58
United Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $78.80 / $92.00	Facility		$78.80	$78.80	$92.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.83 / $7.19	Professional		$1.26	$1.83	$7.19