Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $13.00	Facility		$5.32	$5.32	$13.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.32 / $7.17	Professional		$4.09	$5.32	$7.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $10.89	Professional		$4.20	$4.20	$10.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $8.38 / $11.31	Facility		$6.29	$8.38	$11.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.38 / $17.94	Professional		$5.45	$8.38	$17.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $5.03 / $9.82	Facility		$4.54	$5.03	$9.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $5.92	Professional		$4.28	$4.28	$5.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $5.03 / $5.33	Facility		$4.84	$5.03	$5.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.03 / $5.92	Professional		$4.28	$5.03	$5.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.66 / $6.11	Professional		$3.39	$4.66	$6.11
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.89 / $5.36	Professional		$2.68	$3.89	$5.36