Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $10.00	Facility		$4.95	$4.95	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.95 / $7.85	Professional		$2.78	$4.95	$7.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $6.87 / $9.16	Professional		$5.84	$6.87	$9.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $10.28	Professional		$3.90	$3.90	$10.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.79 / $7.79	Professional		$7.40	$7.79	$7.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $7.79 / $10.52	Facility		$5.84	$7.79	$10.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.79 / $16.68	Professional		$5.05	$7.79	$16.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $5.50 / $9.57	Facility		$3.34	$5.50	$9.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $6.79	Professional		$4.68	$4.68	$6.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $5.50 / $6.62	Facility		$3.34	$5.50	$6.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.50 / $6.62	Professional		$4.68	$5.50	$6.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.05 / $6.63	Professional		$3.68	$5.05	$6.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.88 / $5.64	Professional		$2.59	$3.88	$5.64