Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $68.84 / $99.91	Facility		$3.86	$68.84	$99.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.04 / $54.00	Professional		$3.02	$3.04	$54.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.02 / $3.54	Professional		$2.72	$3.02	$3.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $6.71 / $19.63	Facility		$4.53	$6.71	$19.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.62 / $5.70	Professional		$3.02	$3.62	$5.70
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.16 / $7.16 / $7.16	Facility		$7.16	$7.16	$7.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.02 / $4.23	Facility		$2.72	$3.02	$4.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.02 / $4.83	Professional		$2.72	$3.02	$4.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $3.02	Facility		$2.85	$2.85	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.49	Professional		$3.02	$3.02	$4.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $8.22 / $19.61	Facility		$3.17	$8.22	$19.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $8.40	Professional		$3.02	$3.02	$8.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.46 / $4.22	Professional		$2.99	$3.46	$4.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.32	Professional		$3.02	$3.02	$5.32