Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $36.39 / $95.17	Facility		$7.50	$36.39	$95.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.57 / $26.00	Professional		$4.29	$5.57	$26.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $2.50 / $31.96 / $34.71	Professional	25	$2.50	$31.96	$34.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.37 / $5.82	Professional		$3.54	$4.37	$5.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $5.00 / $8.02	Professional		$3.96	$5.00	$8.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $6.24	Professional		$3.12	$3.12	$6.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $4.16 / $5.62	Facility		$3.12	$4.16	$5.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.76 / $5.82	Professional		$3.43	$4.76	$5.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $10.30	Professional		$3.00	$5.00	$10.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $9.26	Professional		$3.00	$5.00	$9.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Optum Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.02 / $6.02	Professional		$5.89	$6.02	$6.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $6.01 / $10.62	Professional		$4.16	$6.01	$10.62