Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $5.01	Professional		$3.02	$3.98	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.07	Professional		$0.03	$0.04	$0.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.06 / $0.08	Facility		$0.05	$0.06	$0.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.07 / $0.10	Professional		$0.06	$0.07	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Facility		$0.07	$0.07	$0.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.06	Professional		$0.04	$0.04	$0.06
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.12	Professional		$0.05	$0.06	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Professional		$0.02	$0.03	$0.04