Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $15.00	Facility		$5.88	$5.88	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.88 / $7.96	Professional		$3.99	$5.88	$7.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $6.38 / $7.42	Professional		$3.16	$6.38	$7.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $12.05	Professional		$4.00	$4.00	$12.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $9.27 / $12.51	Facility		$6.03	$9.27	$12.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $9.27 / $19.85	Professional		$5.52	$9.27	$19.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.57 / $10.17	Facility		$4.00	$5.57	$10.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $6.88	Professional		$4.73	$4.73	$6.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.57 / $5.79	Facility		$4.00	$5.57	$5.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.57 / $6.16	Professional		$4.63	$5.57	$6.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.22 / $9.47	Professional		$5.25	$7.22	$9.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $4.34 / $5.92	Professional		$2.96	$4.34	$5.92