Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $6.33 / $18.00	Facility		$6.33	$6.33	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.33 / $8.42	Professional		$4.47	$6.33	$8.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.86 / $8.33	Professional		$7.08	$7.86	$8.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.99 / $12.96	Professional		$4.44	$4.99	$12.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $9.97 / $9.97	Professional		$9.97	$9.97	$9.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $9.97 / $13.46	Facility		$7.48	$9.97	$13.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.97 / $21.35	Professional		$6.77	$9.97	$21.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $6.26 / $12.20	Facility		$4.94	$6.26	$12.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $7.36	Professional		$5.32	$5.32	$7.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.26 / $6.89	Facility		$6.26	$6.26	$6.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.26 / $6.89	Professional		$5.32	$6.26	$6.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $8.17 / $10.71	Professional		$5.94	$8.17	$10.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.68 / $6.80	Professional		$3.32	$4.68	$6.80