Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $2.00 / $2.24	Professional		$1.05	$2.00	$2.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.28 / $0.65	Professional		$0.21	$0.28	$0.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.38 / $0.62	Facility		$0.26	$0.38	$0.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.46 / $0.69	Professional		$0.33	$0.46	$0.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $1.58	Facility		$0.31	$0.31	$1.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.31	Professional		$0.26	$0.26	$0.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $1.58	Facility		$0.31	$0.31	$1.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.31	Professional		$0.26	$0.26	$0.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.40 / $0.58	Professional		$0.28	$0.40	$0.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.56 / $1.07	Professional		$0.51	$0.56	$1.07
United Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.24 / $0.35	Facility		$0.18	$0.24	$0.35
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.25 / $0.35	Professional		$0.16	$0.25	$0.35