Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $22.75 / $79.20	Facility		$5.13	$22.75	$79.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.84 / $7.62	Professional		$3.42	$3.84	$7.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $2.97	Professional		$2.56	$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 $3.26 / $4.48 / $5.76	Facility		$3.26	$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 / $9.64	Facility		$2.78	$4.40	$9.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $4.00 / $7.39	Professional		$2.15	$4.00	$7.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $25.08 / $56.72	Facility		$4.78	$25.08	$56.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $3.43 / $8.16	Professional		$1.71	$3.43	$8.16
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 Facility Modifier Low / Median / High Price $5.12 / $5.12 / $5.12	Facility		$5.12	$5.12	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.61 / $6.49	Professional		$1.79	$2.61	$6.49