Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $9.77 / $97.72	Facility		$4.07	$9.77	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $6.17	Professional		$2.00	$2.40	$6.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.40 / $2.40	Professional		$1.78	$2.40	$2.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $5.13 / $15.49	Facility		$2.57	$5.13	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.57 / $4.17	Professional		$2.40	$2.57	$4.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.40	Facility		$2.24	$2.24	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $14.79	Professional		$2.40	$2.40	$14.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $13.18 / $56.23	Facility		$3.63	$13.18	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $14.79	Professional		$2.40	$2.40	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.95 / $3.47	Professional		$2.40	$2.95	$3.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.37 / $6.03	Professional		$2.57	$4.37	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.40 / $2.51	Professional		$2.29	$2.40	$2.51