Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.27 / $5.01	Facility		$3.02	$4.27	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $3.02 / $3.98	Professional		$1.38	$3.02	$3.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.07 / $5.13	Professional		$2.69	$4.07	$5.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.09 / $6.76	Professional		$2.57	$3.09	$6.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.31 / $8.13	Facility		$5.13	$6.31	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.92 / $11.75	Professional		$6.17	$6.92	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.09 / $3.24	Facility		$2.88	$3.09	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.09	Professional		$2.57	$2.57	$3.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.09 / $6.92	Facility		$2.88	$3.09	$6.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $3.24	Professional		$2.57	$2.57	$3.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.98 / $5.75	Professional		$2.82	$3.98	$5.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.75 / $10.72	Professional		$5.13	$5.75	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.14 / $3.24	Facility		$1.82	$2.14	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.34 / $3.24	Professional		$1.66	$2.34	$3.24