Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $5.00	Facility		$2.40	$2.40	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $2.40 / $3.24	Professional		$1.63	$2.40	$3.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.03 / $3.78	Professional		$3.02	$3.03	$3.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $4.91	Professional		$1.89	$1.89	$4.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Professional		$3.78	$3.78	$3.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $4.16 / $5.61	Facility		$2.84	$4.16	$5.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.54 / $7.08	Professional		$2.65	$4.54	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $4.43	Facility		$2.27	$2.27	$4.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $2.67	Professional		$1.93	$1.93	$2.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.99	Facility		$2.27	$2.27	$2.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.27 / $2.67	Professional		$1.93	$2.27	$2.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.97 / $3.89	Professional		$2.16	$2.97	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.76 / $2.41	Professional		$1.24	$1.76	$2.41