Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $11.88 / $95.80	Facility		$4.38	$11.88	$95.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.48 / $5.09	Professional		$3.45	$3.48	$5.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $3.82	Professional		$3.82	$3.82	$3.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $7.67 / $22.43	Facility		$5.18	$7.67	$22.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.93 / $5.81	Professional		$3.45	$3.93	$5.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Facility		$8.18	$8.18	$8.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.82 / $5.68	Facility		$3.45	$3.82	$5.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.82 / $5.52	Professional		$3.45	$3.82	$5.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.45	Facility		$3.25	$3.25	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $6.29	Professional		$3.45	$3.45	$6.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.45 / $16.73	Facility		$3.25	$3.45	$16.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $7.20	Professional		$3.45	$3.45	$7.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.50 / $5.71	Professional		$3.79	$4.50	$5.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $6.37	Professional		$3.45	$3.45	$6.37