Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Facility		$3.02	$3.02	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.02 / $3.98	Professional		$1.51	$3.02	$3.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.21 / $0.45	Professional		$0.18	$0.21	$0.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.26 / $0.42	Facility		$0.18	$0.26	$0.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.32 / $0.47	Professional		$0.23	$0.32	$0.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.26	Facility		$0.21	$0.21	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.21	Professional		$0.18	$0.18	$0.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.48	Facility		$0.21	$0.21	$0.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.21	Professional		$0.18	$0.18	$0.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.30 / $0.44	Professional		$0.19	$0.30	$0.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.40 / $0.74	Professional		$0.36	$0.40	$0.74
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.15 / $0.23	Facility		$0.13	$0.15	$0.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.17 / $0.23	Professional		$0.12	$0.17	$0.23