Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.24 / $8.91	Facility		$5.01	$7.24	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.41	Professional		$3.02	$5.01	$7.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.91	Professional		$6.92	$6.92	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $11.22	Professional		$4.37	$5.25	$11.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.46 / $10.47	Facility		$4.37	$6.46	$10.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $11.75	Professional		$5.62	$7.76	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.25 / $5.75	Facility		$5.01	$5.25	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.25	Professional		$4.47	$4.47	$5.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.25 / $11.75	Facility		$5.01	$5.25	$11.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.75	Professional		$4.47	$4.47	$5.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.31 / $9.12	Professional		$4.57	$6.31	$9.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $18.20	Professional		$8.91	$10.00	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.89 / $5.50	Facility		$3.09	$3.89	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.07 / $5.50	Professional		$2.82	$4.07	$5.50