Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $21.72 / $88.92	Facility		$0.61	$21.72	$88.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.37 / $11.90	Professional		$0.35	$0.37	$11.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $68.00	Professional		$36.00	$45.00	$68.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.80 / $2.34	Facility		$0.54	$0.80	$2.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.41 / $0.63	Professional		$0.36	$0.41	$0.63
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Facility		$0.48	$0.48	$0.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.45 / $0.63	Facility		$0.36	$0.45	$0.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.41 / $0.57	Professional		$0.36	$0.41	$0.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.34	Facility		$0.34	$0.34	$0.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.98	Professional		$0.34	$0.34	$0.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $3.52 / $15.81	Facility		$0.34	$3.52	$15.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $2.40	Professional		$0.34	$0.34	$2.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.50 / $0.65	Professional		$0.39	$0.50	$0.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.61	Facility		$0.61	$0.61	$0.61
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.45	Professional		$0.36	$0.36	$0.45