Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $17.11	Facility		$5.08	$5.08	$17.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.08 / $6.85	Professional		$3.92	$5.08	$6.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $8.00	Professional		$6.40	$6.40	$8.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $10.40	Professional		$4.01	$4.01	$10.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $8.80 / $11.89	Facility		$6.00	$8.80	$11.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $9.60 / $14.14	Professional		$5.60	$9.60	$14.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.80 / $9.36	Facility		$4.34	$4.80	$9.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.08 / $5.65	Professional		$4.08	$4.08	$5.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.80 / $5.09	Facility		$4.63	$4.80	$5.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.80 / $5.65	Professional		$4.08	$4.80	$5.65
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 $2.62 / $3.70 / $5.12	Professional		$2.62	$3.70	$5.12