Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $7.77 / $12.00	Facility		$7.77	$7.77	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.77 / $10.49	Professional		$5.26	$7.77	$10.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $12.24	Professional		$9.78	$9.78	$12.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $15.91	Professional		$6.13	$6.13	$15.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $13.46 / $18.18	Facility		$9.18	$13.46	$18.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $14.69 / $21.91	Professional		$8.57	$14.69	$21.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.35 / $14.34	Facility		$7.08	$7.35	$14.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $8.65	Professional		$6.25	$6.25	$8.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.35 / $7.79	Facility		$7.08	$7.35	$7.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.35 / $9.02	Professional		$6.25	$7.35	$9.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.85 / $11.60	Professional		$6.44	$8.85	$11.60
United Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $5.20 / $8.00	Facility		$3.52	$5.20	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.69 / $7.81	Professional		$4.00	$5.69	$7.81