Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $8.47 / $52.00	Facility		$3.75	$8.47	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.86 / $4.84	Professional		$1.81	$1.86	$4.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $3.53	Professional		$3.07	$3.07	$3.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $4.01 / $11.77	Facility		$2.72	$4.01	$11.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.06 / $3.19	Professional		$1.81	$2.06	$3.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Facility		$2.43	$2.43	$2.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.52 / $3.53	Facility		$1.81	$2.52	$3.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.08 / $3.35	Professional		$1.81	$2.08	$3.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $1.81	Facility		$1.71	$1.71	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $4.80	Professional		$1.81	$1.81	$4.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $11.09 / $33.74	Facility		$3.45	$11.09	$33.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $6.32	Professional		$1.81	$1.81	$6.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.92 / $3.70	Professional		$1.99	$2.92	$3.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.24	Professional		$1.81	$1.81	$2.24