Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $32.36 / $173.78	Facility		$5.89	$32.36	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $50.12	Professional		$3.98	$5.01	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.72 / $3.72	Professional		$3.24	$3.72	$3.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.75 / $10.00	Facility		$4.90	$5.75	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.31 / $6.92	Professional		$2.63	$3.31	$6.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.62 / $6.76	Facility		$4.07	$5.62	$6.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.37 / $7.24	Professional		$3.47	$5.37	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.55 / $21.38	Facility		$3.47	$3.55	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.47 / $10.23	Professional		$2.82	$3.47	$10.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $22.91 / $85.11	Facility		$5.50	$22.91	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.17 / $8.91	Professional		$3.31	$4.17	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $6.61	Professional		$3.63	$4.47	$6.61
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.62 / $12.59	Professional		$3.47	$5.62	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.72 / $5.37	Facility		$1.95	$3.72	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.24 / $6.46	Professional		$2.24	$3.24	$6.46