Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $14.15 / $216.00	Facility		$3.83	$14.15	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.45 / $6.96	Professional		$3.06	$3.45	$6.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $2.66 / $2.66	Professional		$2.66	$2.66	$2.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $4.21 / $6.78	Facility		$3.38	$4.21	$6.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $4.13	Professional		$1.89	$1.89	$4.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Facility		$2.41	$2.41	$2.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $4.01 / $5.75	Facility		$2.61	$4.01	$5.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.98 / $5.17	Professional		$3.26	$4.98	$5.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $3.94 / $24.58	Facility		$2.49	$3.94	$24.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $3.07 / $5.68	Professional		$1.98	$3.07	$5.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $4.26 / $37.40	Facility		$2.49	$4.26	$37.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.52 / $7.27	Professional		$1.98	$2.52	$7.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.15 / $4.59	Professional		$2.87	$3.15	$4.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.29 / $5.34	Professional		$1.61	$2.29	$5.34