Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $55.34 / $204.67	Facility		$0.15	$55.34	$204.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $30.00	Professional		$0.10	$0.10	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.22 / $0.65	Facility		$0.15	$0.22	$0.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.17	Professional		$0.10	$0.11	$0.17
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 $0.10 / $0.11 / $0.18	Facility		$0.10	$0.11	$0.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.25	Professional		$0.10	$0.11	$0.25
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 / $0.22	Professional		$0.10	$0.10	$0.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.89 / $2.81	Facility		$0.20	$0.89	$2.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.41	Professional		$0.10	$0.10	$0.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $0.15	Professional		$0.11	$0.13	$0.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.12	Professional		$0.10	$0.10	$0.12