Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $2.89 / $5.00	Facility		$2.89	$2.89	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.89 / $3.60	Professional		$2.12	$2.89	$3.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.61 / $6.00	Professional		$2.02	$2.61	$6.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $5.69 / $6.83	Facility		$4.55	$5.69	$6.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.92 / $9.74	Professional		$5.01	$5.92	$9.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Facility		$5.33	$5.33	$5.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.41 / $5.11	Professional		$3.53	$4.41	$5.11
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.18 / $3.25	Professional		$1.51	$2.18	$3.25