Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $4.22 / $12.00	Facility		$4.22	$4.22	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.22 / $5.70	Professional		$3.24	$4.22	$5.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $8.64	Professional		$3.33	$3.33	$8.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Professional		$6.65	$6.65	$6.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $6.65 / $8.98	Facility		$4.99	$6.65	$8.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.65 / $14.24	Professional		$4.32	$6.65	$14.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $7.79	Facility		$4.00	$4.00	$7.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $4.70	Professional		$3.40	$3.40	$4.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.23	Facility		$4.00	$4.00	$4.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.00 / $4.70	Professional		$3.40	$4.00	$4.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.69 / $3.53	Professional		$1.96	$2.69	$3.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $3.29 / $4.24	Professional		$2.21	$3.29	$4.24