Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.94 / $10.00	Facility		$3.98	$7.94	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $7.94	Professional		$1.45	$1.45	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.41 / $0.68	Professional		$0.33	$0.41	$0.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.60 / $0.71	Facility		$0.59	$0.60	$0.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Professional		$0.59	$0.59	$0.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
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 $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1.00 / $1.26	Professional		$0.66	$1.00	$1.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.40 / $0.60	Professional		$0.26	$0.40	$0.60