Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.71 / $120.23	Facility		$6.03	$8.71	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.17 / $10.47	Professional		$6.03	$6.17	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $12.59	Professional		$4.57	$5.75	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.91 / $14.79	Facility		$7.41	$8.91	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.94 / $23.99	Professional		$7.41	$7.94	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.13 / $17.38	Facility		$11.48	$14.13	$17.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $14.79	Professional		$8.91	$10.72	$14.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $24.55	Professional		$10.47	$11.75	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.79 / $6.46	Professional		$2.88	$4.79	$6.46