Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $9.00	Facility		$3.87	$3.87	$9.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.87 / $5.22	Professional		$2.98	$3.87	$5.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $2.80 / $4.87	Professional		$2.80	$2.80	$4.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $7.91	Professional		$3.05	$3.05	$7.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $6.09	Professional		$6.09	$6.09	$6.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $6.09 / $8.22	Facility		$4.57	$6.09	$8.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $6.09 / $13.04	Professional		$3.96	$6.09	$13.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $3.66 / $7.14	Facility		$3.53	$3.66	$7.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $4.30	Professional		$3.11	$3.11	$4.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $3.66 / $3.88	Facility		$3.53	$3.66	$3.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.66 / $3.92	Professional		$3.11	$3.66	$3.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.25 / $5.58	Professional		$3.09	$4.25	$5.58
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.52 / $3.88	Facility		$1.70	$2.52	$3.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.87 / $3.89	Professional		$1.97	$2.87	$3.89