Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $14.00	Facility		$5.33	$5.33	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.33 / $7.19	Professional		$4.09	$5.33	$7.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $6.72	Professional		$6.72	$6.72	$6.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.21 / $10.92	Professional		$4.03	$4.21	$10.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $8.40 / $11.34	Facility		$6.30	$8.40	$11.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $8.40 / $17.98	Professional		$5.46	$8.40	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $5.04 / $9.84	Facility		$3.18	$5.04	$9.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $5.93	Professional		$4.28	$4.28	$5.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $5.04 / $5.34	Facility		$3.18	$5.04	$5.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.04 / $5.34	Professional		$4.28	$5.04	$5.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.58 / $8.63	Professional		$4.79	$6.58	$8.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.90 / $5.36	Professional		$2.68	$3.90	$5.36