Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.02 / $18.20	Facility		$5.01	$12.02	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $12.88 / $19.05	Professional		$1.00	$12.88	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $25.12	Professional		$16.98	$16.98	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.20 / $0.33	Professional		$0.16	$0.20	$0.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.35 / $0.35	Facility		$0.28	$0.35	$0.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Professional		$0.32	$0.32	$0.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Professional		$0.72	$0.72	$0.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.28 / $0.36	Professional		$0.18	$0.28	$0.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $60.26 / $75.86	Professional		$0.35	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.20 / $0.30	Professional		$0.13	$0.20	$0.30