Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $14.45 / $54.95	Facility		$4.79	$14.45	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $19.95	Professional		$3.98	$6.03	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.75 / $6.31	Professional		$2.14	$2.75	$6.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.25 / $9.33	Facility		$4.57	$5.25	$9.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.39 / $6.46	Professional		$2.82	$3.39	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.01 / $6.76	Professional		$3.24	$5.01	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $19.95	Facility		$3.24	$3.24	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.31 / $12.02	Professional		$2.45	$3.31	$12.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $6.46 / $27.54	Facility		$3.31	$6.46	$27.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.31 / $12.02	Professional		$2.45	$3.31	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.17 / $6.17	Professional		$3.39	$4.17	$6.17
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.25 / $11.75	Professional		$3.24	$5.25	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.24 / $4.47	Facility		$1.82	$3.24	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.24	Professional		$3.02	$5.01	$7.24