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 $2.09 / $2.34 / $3.72	Professional		$2.09	$2.34	$3.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $53.70	Professional		$28.84	$38.90	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.33 / $0.68	Professional		$0.25	$0.33	$0.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.54 / $0.68 / $0.85	Facility		$0.54	$0.68	$0.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.72 / $1.26	Professional		$0.62	$0.72	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $0.72	Facility		$0.72	$0.72	$0.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.41 / $32.36	Professional		$0.33	$0.41	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.62 / $1.29	Professional		$0.55	$0.62	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.26 / $0.35	Professional		$0.16	$0.26	$0.35