Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $3.91 / $10.00	Facility		$3.91	$3.91	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $3.91 / $5.41	Professional		$3.81	$3.91	$5.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.01 / $6.33	Professional		$5.72	$6.01	$6.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $8.81 / $22.83	Facility		$7.52	$8.81	$22.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.69 / $10.57	Professional		$3.91	$4.69	$10.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $6.81 / $6.81	Professional		$6.81	$6.81	$6.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $8.01 / $10.81	Facility		$6.01	$8.01	$10.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $8.01 / $17.14	Professional		$5.21	$8.01	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $9.97	Facility		$5.18	$5.18	$9.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $6.62	Professional		$3.78	$3.78	$6.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.18 / $5.18	Professional		$3.78	$5.18	$5.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.67 / $6.12	Professional		$3.40	$4.67	$6.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $4.00 / $6.16	Professional		$2.66	$4.00	$6.16