Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $6.31 / $57.54	Facility		$2.34	$6.31	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.63	Professional		$2.00	$2.00	$3.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.37 / $13.18	Facility		$2.19	$4.37	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.29 / $4.07	Professional		$2.04	$2.29	$4.07
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Facility		$2.57	$2.57	$2.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $6.61	Professional		$2.04	$2.04	$6.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $6.46 / $31.62	Facility		$1.95	$6.46	$31.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $7.08	Professional		$2.04	$2.04	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.51 / $2.95	Professional		$2.04	$2.51	$2.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.24 / $4.47	Professional		$1.95	$3.24	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.75	Professional		$2.04	$2.04	$2.75