Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.75 / $28.18	Facility		$9.33	$11.75	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $16.22	Professional		$8.91	$8.91	$16.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.38 / $47.86	Facility		$10.00	$17.38	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.72 / $17.38	Professional		$9.33	$10.72	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $16.22	Professional		$10.23	$10.23	$16.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $16.22	Professional		$10.23	$10.23	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $15.14	Professional		$10.47	$13.18	$15.14
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 $10.23 / $10.96 / $22.91	Professional		$10.23	$10.96	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $10.23	Facility		$9.77	$9.77	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $12.59	Professional		$10.00	$10.96	$12.59