Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $44.84 / $99.45	Facility		$3.09	$44.84	$99.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.31 / $29.06	Professional		$2.29	$2.31	$29.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.00	Professional		$1.95	$1.95	$3.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $5.09 / $14.89	Facility		$3.44	$5.09	$14.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.61 / $3.86	Professional		$2.29	$2.61	$3.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $5.43 / $5.43	Facility		$5.43	$5.43	$5.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.29 / $3.21	Facility		$1.95	$2.29	$3.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $3.66	Professional		$1.95	$2.29	$3.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $2.29	Facility		$2.16	$2.16	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.71	Professional		$2.29	$2.29	$3.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $4.49 / $16.28	Facility		$2.16	$4.49	$16.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $4.94	Professional		$2.29	$2.29	$4.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.81 / $3.63	Professional		$2.14	$2.81	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $11.44	Professional		$2.29	$2.29	$11.44