Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.03 / $7.08	Facility		$3.98	$6.03	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $6.03	Professional		$3.02	$3.98	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $7.24	Professional		$5.75	$5.75	$7.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.17 / $9.33	Professional		$3.55	$4.17	$9.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.37 / $8.51	Facility		$3.55	$5.37	$8.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.46 / $9.55	Professional		$4.68	$6.46	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.27 / $4.57	Facility		$3.39	$4.27	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.27	Professional		$3.63	$3.63	$4.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.27 / $9.77	Facility		$3.39	$4.27	$9.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.27	Professional		$3.63	$3.63	$4.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.50 / $7.76	Professional		$3.89	$5.50	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.13 / $15.14	Professional		$7.24	$8.13	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.16 / $4.57	Facility		$2.51	$3.16	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.31 / $4.57	Professional		$2.34	$3.31	$4.57