Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.08 / $7.94	Facility		$5.01	$7.08	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.08	Professional		$3.02	$5.01	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $8.51	Professional		$6.76	$6.76	$8.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.90 / $10.96	Professional		$4.17	$4.90	$10.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.31 / $10.00	Facility		$4.17	$6.31	$10.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.59 / $11.22	Professional		$5.50	$7.59	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.01 / $5.37	Facility		$4.68	$5.01	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.01	Professional		$4.27	$4.27	$5.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.01 / $11.48	Facility		$4.68	$5.01	$11.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.01	Professional		$4.27	$4.27	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.90 / $6.92	Professional		$3.47	$4.90	$6.92
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.55 / $17.78	Professional		$8.51	$9.55	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.47 / $5.37	Facility		$2.95	$3.47	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.89 / $5.37	Professional		$2.75	$3.89	$5.37