Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.24 / $3.98	Facility		$2.00	$3.24	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.16 / $3.89	Professional		$3.09	$3.16	$3.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $5.01	Professional		$1.95	$2.29	$5.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.88 / $4.57	Facility		$1.95	$2.88	$4.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.47 / $5.25	Professional		$2.51	$3.47	$5.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.69	Facility		$2.29	$2.29	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.29	Professional		$1.95	$1.95	$2.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $5.25	Facility		$2.29	$2.29	$5.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.29	Professional		$1.95	$1.95	$2.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.19 / $3.16	Professional		$1.55	$2.19	$3.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.37 / $8.13	Professional		$3.89	$4.37	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.74 / $2.45	Facility		$1.35	$1.74	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.78 / $2.45	Professional		$1.26	$1.78	$2.45