Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.58 / $1.58	Professional		$1.00	$1.58	$1.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.35 / $0.56	Professional		$0.27	$0.35	$0.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $50.12 / $60.26	Professional		$0.19	$50.12	$60.26
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 $0.13 / $0.20 / $0.28	Professional		$0.13	$0.20	$0.28