Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $12.00	Facility		$6.14	$6.14	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $6.14 / $7.67	Professional		$4.16	$6.14	$7.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.77 / $8.23	Professional		$4.84	$5.77	$8.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $12.58	Professional		$4.12	$4.12	$12.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Professional		$9.68	$9.68	$9.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $9.68 / $13.07	Facility		$7.26	$9.68	$13.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $9.68 / $20.73	Professional		$6.29	$9.68	$20.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $5.81 / $11.64	Facility		$3.53	$5.81	$11.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $4.94 / $7.17	Professional		$4.94	$4.94	$7.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $5.81 / $7.17	Facility		$3.58	$5.81	$7.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.81 / $6.63	Professional		$4.94	$5.81	$6.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.90 / $5.11	Professional		$2.84	$3.90	$5.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.63 / $6.43	Professional		$3.04	$4.63	$6.43