Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $18.62 / $141.25	Facility		$1.48	$18.62	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.12 / $3.39	Professional		$1.00	$1.12	$3.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.86 / $5.62	Facility		$0.93	$1.86	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.98 / $1.74	Professional		$0.87	$0.98	$1.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Professional		$1.66	$1.66	$1.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.81 / $0.87	Facility		$0.81	$0.81	$0.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $4.57	Professional		$0.87	$0.87	$4.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $4.79 / $27.54	Facility		$0.81	$4.79	$27.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $4.90	Professional		$0.87	$0.87	$4.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.23 / $1.70	Professional		$0.87	$1.23	$1.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.14 / $2.95	Professional		$1.26	$2.14	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $1.23	Professional		$0.87	$0.87	$1.23