Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $20.00	Facility		$7.25	$7.25	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.25 / $9.77	Professional		$5.58	$7.25	$9.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $9.14	Professional		$9.14	$9.14	$9.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $14.84	Professional		$5.73	$5.73	$14.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $11.42 / $15.42	Facility		$8.57	$11.42	$15.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $11.42 / $24.45	Professional		$7.42	$11.42	$24.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $6.86 / $13.38	Facility		$6.43	$6.86	$13.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $8.07	Professional		$5.83	$5.83	$8.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $6.86 / $7.64	Facility		$6.43	$6.86	$7.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.86 / $7.64	Professional		$5.83	$6.86	$7.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $6.97 / $9.14	Professional		$5.07	$6.97	$9.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.37 / $7.29	Professional		$3.65	$5.37	$7.29