Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $6.53 / $19.00	Facility		$6.53	$6.53	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.53 / $8.81	Professional		$5.01	$6.53	$8.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $7.66 / $10.28	Professional		$6.99	$7.66	$10.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.14 / $13.36	Professional		$4.79	$5.14	$13.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Professional		$10.28	$10.28	$10.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $10.28 / $14.39	Facility		$6.72	$10.28	$14.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.28 / $23.83	Professional		$6.68	$10.28	$23.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $6.18 / $12.05	Facility		$5.67	$6.18	$12.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $7.06	Professional		$5.25	$5.25	$7.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $6.18 / $6.54	Facility		$5.94	$6.18	$6.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.18 / $6.54	Professional		$5.25	$6.18	$6.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.65 / $10.03	Professional		$5.56	$7.65	$10.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $5.08 / $6.56	Professional		$3.42	$5.08	$6.56