Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $57.77 / $98.53	Facility		$2.63	$57.77	$98.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.04 / $40.09	Professional		$1.99	$2.04	$40.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $1.99	Professional		$1.72	$1.72	$1.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.99 / $4.42 / $12.94	Facility		$2.99	$4.42	$12.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.37 / $3.75	Professional		$1.99	$2.37	$3.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Facility		$4.72	$4.72	$4.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $1.99	Professional		$1.99	$1.99	$1.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.72 / $1.99 / $2.79	Facility		$1.72	$1.99	$2.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.99 / $3.18	Professional		$1.72	$1.99	$3.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $1.99	Facility		$1.88	$1.88	$1.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.86	Professional		$1.99	$1.99	$2.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $6.03 / $16.87	Facility		$1.88	$6.03	$16.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $4.62	Professional		$1.99	$1.99	$4.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.23 / $2.87	Professional		$1.89	$2.23	$2.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $2.50	Professional		$1.99	$1.99	$2.50