Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $50.72 / $99.09	Facility		$0.11	$50.72	$99.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $17.41	Professional		$0.08	$0.08	$17.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.00 / $14.00	Professional		$5.00	$8.00	$14.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.18 / $0.52	Facility		$0.12	$0.18	$0.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.13	Professional		$0.08	$0.09	$0.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.19	Facility		$0.19	$0.19	$0.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Professional		$0.08	$0.08	$0.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $0.14	Facility		$0.08	$0.09	$0.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.16	Professional		$0.08	$0.09	$0.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.08	Facility		$0.08	$0.08	$0.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.13	Professional		$0.08	$0.08	$0.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.28 / $1.48	Facility		$0.08	$0.28	$1.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.46	Professional		$0.08	$0.08	$0.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.09 / $0.11	Professional		$0.05	$0.09	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $2.67	Professional		$0.08	$0.08	$2.67