Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.50 / $6.03	Facility		$3.98	$5.50	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.98 / $5.62	Professional		$1.82	$3.98	$5.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.68 / $6.46	Professional		$3.39	$4.68	$6.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.89 / $8.51	Professional		$3.24	$3.89	$8.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.46 / $6.46	Professional		$6.31	$6.46	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.90 / $7.76	Facility		$3.24	$4.90	$7.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.89 / $8.71	Professional		$4.27	$5.89	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.89 / $3.89	Facility		$2.95	$3.89	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Professional		$3.31	$3.31	$3.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.89 / $8.91	Facility		$2.95	$3.89	$8.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.98	Professional		$3.31	$3.31	$3.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.37 / $6.31	Professional		$3.16	$4.37	$6.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.24 / $13.49	Professional		$6.46	$7.24	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.95 / $4.37	Facility		$2.19	$2.95	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.02 / $4.37	Professional		$1.91	$3.02	$4.37