Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $3.03 / $8.00	Facility		$3.03	$3.03	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.03 / $4.09	Professional		$2.04	$3.03	$4.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $3.82	Professional		$3.82	$3.82	$3.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.38 / $6.20	Professional		$2.38	$2.38	$6.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $4.76 / $6.44	Facility		$3.58	$4.76	$6.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.76 / $10.21	Professional		$3.10	$4.76	$10.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.86 / $5.59	Facility		$2.75	$2.86	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $3.37	Professional		$2.43	$2.43	$3.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.86 / $3.03	Facility		$2.75	$2.86	$3.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.86 / $3.03	Professional		$2.43	$2.86	$3.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.59 / $4.71	Professional		$2.61	$3.59	$4.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $2.20 / $3.03	Professional		$1.36	$2.20	$3.03