Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Facility		$2.57	$2.57	$2.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.00	Professional		$1.00	$2.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $2.45 / $2.45	Professional		$1.07	$2.45	$2.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $19.95	Professional		$11.75	$13.49	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.69 / $3.16	Professional		$2.34	$2.69	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $18.62	Professional		$9.55	$14.45	$18.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.58 / $2.51	Professional		$1.07	$1.58	$2.51