Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $2.04	Facility		$1.00	$2.00	$2.04
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 $1.95 / $1.95 / $2.45	Professional		$1.95	$1.95	$2.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.45 / $3.09	Professional		$1.23	$1.45	$3.09
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 $1.20 / $1.82 / $2.88	Facility		$1.20	$1.82	$2.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.19 / $3.24	Professional		$1.58	$2.19	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $1.62	Facility		$1.45	$1.45	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.45	Professional		$1.23	$1.23	$1.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $3.31	Facility		$1.45	$1.45	$3.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.55	Professional		$1.23	$1.23	$1.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.48 / $2.14	Professional		$1.07	$1.48	$2.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.75 / $5.13	Professional		$2.45	$2.75	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.10 / $1.55	Facility		$0.85	$1.10	$1.55
United Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.12 / $1.55	Professional		$0.79	$1.12	$1.55