Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $21.00	Facility		$10.88	$10.88	$21.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $10.88 / $14.69	Professional		$5.53	$10.88	$14.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $22.51	Professional		$7.72	$7.72	$22.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $17.14 / $23.14	Facility		$12.86	$17.14	$23.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $17.14 / $36.70	Professional		$11.14	$17.14	$36.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $20.09	Facility		$5.40	$10.29	$20.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $12.72	Professional		$8.75	$8.75	$12.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $10.29	Facility		$5.40	$10.29	$10.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $10.29 / $10.29	Professional		$5.40	$10.29	$10.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.00 / $14.42	Professional		$8.00	$11.00	$14.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $8.07 / $11.27	Professional		$5.47	$8.07	$11.27