Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $66.07 / $489.78	Facility		$3.09	$66.07	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $75.86	Professional		$2.00	$2.69	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.75 / $17.38	Facility		$2.88	$5.75	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.02 / $4.68	Professional		$2.69	$3.02	$4.68
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $4.17	Facility		$2.82	$2.82	$4.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $6.46	Professional		$2.82	$2.82	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.69	Facility		$2.51	$2.51	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.47	Professional		$2.69	$2.69	$3.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.69 / $16.22	Facility		$2.04	$2.69	$16.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.69 / $3.80	Professional		$2.57	$2.69	$3.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.09 / $3.98	Professional		$2.69	$3.09	$3.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.95 / $5.25	Professional		$2.34	$2.95	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.69 / $3.02	Professional		$2.51	$2.69	$3.02