Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $48.98	Facility		$16.22	$19.05	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $27.54	Professional		$15.85	$15.85	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $38.02	Professional		$20.42	$23.99	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.88	Professional		$16.22	$16.22	$21.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $776,247.12 / $776,247.12 / $776,247.12	Facility		$776,247.12	$776,247.12	$776,247.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Facility		$11.48	$11.48	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $16.60	Professional		$12.88	$13.49	$16.60