Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $152.96 / $692.53	Facility		$0.82	$152.96	$692.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.63 / $301.75	Professional		$0.46	$0.63	$301.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $63.00	Professional		$38.00	$38.00	$63.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.40 / $4.09	Facility		$0.95	$1.40	$4.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.71 / $1.10	Professional		$0.63	$0.71	$1.10
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $1.49	Facility		$1.49	$1.49	$1.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.56 / $0.88	Facility		$0.38	$0.56	$0.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.63 / $1.01	Professional		$0.38	$0.63	$1.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $0.60	Facility		$0.59	$0.59	$0.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.89	Professional		$0.60	$0.60	$0.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.67 / $7.50	Facility		$0.59	$1.67	$7.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $2.04	Professional		$0.60	$0.60	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.67 / $0.81	Professional		$0.41	$0.67	$0.81
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $5.30	Professional		$0.63	$0.67	$5.30