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 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $0.28	Professional		$0.11	$0.13	$0.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.26 / $0.30	Facility		$0.23	$0.26	$0.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.31	Professional		$0.30	$0.30	$0.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Facility		$0.31	$0.31	$0.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $32.36	Professional		$0.14	$0.17	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.26 / $0.52	Professional		$0.23	$0.26	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.11 / $0.14	Professional		$0.06	$0.11	$0.14