Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $12.00	Facility		$5.56	$5.56	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.56 / $7.50	Professional		$4.28	$5.56	$7.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $7.01 / $7.01	Professional		$7.01	$7.01	$7.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $11.38	Professional		$4.40	$4.40	$11.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $8.76	Professional		$8.76	$8.76	$8.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $8.76 / $11.83	Facility		$6.57	$8.76	$11.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $8.76 / $18.76	Professional		$5.69	$8.76	$18.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $5.26 / $10.26	Facility		$5.07	$5.26	$10.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $6.19	Professional		$4.47	$4.47	$6.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $5.26 / $5.57	Facility		$5.07	$5.26	$5.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.26 / $5.57	Professional		$4.47	$5.26	$5.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.58 / $8.63	Professional		$4.79	$6.58	$8.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.12 / $5.60	Professional		$2.85	$4.12	$5.60