Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $63.10 / $302.00	Facility		$9.77	$63.10	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $25.70 / $87.10	Professional		$6.46	$25.70	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $19.05	Professional		$7.94	$7.94	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.22 / $0.65	Facility		$0.11	$0.22	$0.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.19	Professional		$0.10	$0.12	$0.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Facility		$0.13	$0.13	$0.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.15 / $0.27	Professional		$0.11	$0.15	$0.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.24	Professional		$0.10	$0.10	$0.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.22 / $1.66	Facility		$0.10	$0.22	$1.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.24	Professional		$0.10	$0.10	$0.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.18	Professional		$0.11	$0.12	$0.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.16 / $0.79	Professional		$0.10	$0.16	$0.79
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12