Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $55.44 / $171.76	Facility		$0.21	$55.44	$171.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $72.00	Professional		$0.14	$0.14	$72.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $18.00	Professional		$11.00	$11.00	$18.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.31 / $0.91	Facility		$0.21	$0.31	$0.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.16 / $0.25	Professional		$0.14	$0.16	$0.25
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Facility		$0.33	$0.33	$0.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $0.24	Facility		$0.11	$0.14	$0.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.33	Professional		$0.11	$0.14	$0.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $0.14	Facility		$0.13	$0.13	$0.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.19	Professional		$0.14	$0.14	$0.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.44 / $1.02	Facility		$0.13	$0.44	$1.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $0.22	Professional		$0.14	$0.14	$0.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.14 / $0.18	Professional		$0.12	$0.14	$0.18
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Facility		$0.14	$0.14	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $1.27	Professional		$0.14	$0.14	$1.27