Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $6.61 / $58.88	Facility		$2.04	$6.61	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.29 / $5.37	Professional		$1.00	$1.29	$5.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.29 / $91.20	Professional		$1.26	$1.29	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.75 / $8.32	Facility		$1.38	$2.75	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.45 / $2.24	Professional		$1.29	$1.45	$2.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Facility		$1.82	$1.82	$1.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.29	Facility		$1.20	$1.20	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $6.76	Professional		$1.29	$1.29	$6.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $11.22 / $52.48	Facility		$3.72	$11.22	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $9.12	Professional		$1.29	$1.29	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.62 / $2.09	Professional		$1.29	$1.62	$2.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.29 / $3.16	Professional		$1.35	$2.29	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.38	Professional		$1.29	$1.29	$1.38