Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $2.40	Facility		$1.00	$2.00	$2.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $87.10 / $87.10	Professional		$1.23	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.20 / $3.02	Professional		$1.02	$1.20	$3.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $2.63 / $3.80	Facility		$1.07	$2.63	$3.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.88 / $5.50	Professional		$2.57	$2.88	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.51 / $1.51	Facility		$1.20	$1.51	$1.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.51	Professional		$1.29	$1.29	$1.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.51 / $2.95	Facility		$1.20	$1.51	$2.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.70	Professional		$1.29	$1.29	$1.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.19 / $3.31	Professional		$1.58	$2.19	$3.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.69 / $5.01	Professional		$2.45	$2.69	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.12 / $1.62	Facility		$0.89	$1.12	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.12 / $1.62	Professional		$0.76	$1.12	$1.62