Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $61.88 / $346.87	Facility		$2.13	$61.88	$346.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.75 / $3.32	Professional		$1.69	$1.75	$3.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.40	Professional		$1.40	$1.40	$1.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.89 / $11.38	Facility		$2.63	$3.89	$11.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.10 / $3.49	Professional		$1.75	$2.10	$3.49
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $4.15	Facility		$4.15	$4.15	$4.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Professional		$1.75	$1.75	$1.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $1.75 / $2.45	Facility		$1.40	$1.75	$2.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.75 / $2.80	Professional		$1.40	$1.75	$2.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.65 / $1.75	Facility		$1.65	$1.65	$1.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.67	Professional		$1.75	$1.75	$2.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $5.97 / $18.75	Facility		$1.65	$5.97	$18.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $7.04	Professional		$1.75	$1.75	$7.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.82 / $2.29	Professional		$1.54	$1.82	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.84 / $32.00	Professional		$1.75	$1.84	$32.00