Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $48.98 / $114.82	Facility		$2.82	$48.98	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.14 / $69.18	Professional		$2.00	$2.14	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.29 / $2.29	Professional		$2.09	$2.29	$2.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $4.57 / $13.80	Facility		$2.29	$4.57	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.40 / $3.72	Professional		$2.09	$2.40	$3.72
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $3.47	Facility		$2.29	$2.29	$3.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $5.37	Professional		$2.29	$2.29	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $85.11	Facility		$2.00	$2.00	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $3.63	Professional		$2.09	$2.09	$3.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $8.13 / $51.29	Facility		$2.00	$8.13	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $4.90	Professional		$2.09	$2.09	$4.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.51 / $3.24	Professional		$2.09	$2.51	$3.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.69 / $4.17	Professional		$2.19	$2.69	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.24 / $11.75	Professional		$2.09	$2.24	$11.75