Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.01 / $8.91	Facility		$3.02	$5.01	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $6.03 / $10.00	Professional		$1.00	$6.03	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
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 $0.58 / $0.58 / $0.58	Professional		$0.58	$0.58	$0.58
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 $0.58 / $0.58 / $0.58	Professional		$0.58	$0.58	$0.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.29 / $0.44 / $0.58	Professional		$0.29	$0.44	$0.58
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