Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $5.40 / $14.00	Facility		$5.40	$5.40	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.40 / $7.47	Professional		$5.26	$5.40	$7.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Professional		$8.28	$8.28	$8.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $12.16 / $31.49	Facility		$10.38	$12.16	$31.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.46 / $14.58	Professional		$5.39	$6.46	$14.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.39 / $9.39	Professional		$9.39	$9.39	$9.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $11.05 / $14.92	Facility		$8.28	$11.05	$14.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $11.05 / $23.66	Professional		$7.18	$11.05	$23.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $14.09	Facility		$7.14	$7.14	$14.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $9.19	Professional		$5.21	$5.21	$9.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $7.14	Facility		$7.14	$7.14	$7.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.14 / $7.14	Professional		$5.21	$7.14	$7.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.44 / $8.45	Professional		$4.68	$6.44	$8.45
United Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $8.28 / $8.84	Facility		$4.98	$8.28	$8.84
United Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.51 / $8.49	Professional		$3.68	$5.51	$8.49