Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.47 / $512.86	Facility		$1.00	$3.47	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $4.57	Professional		$1.00	$1.00	$4.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.62 / $67.61	Professional		$1.12	$1.62	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.91 / $1.95	Professional		$0.72	$0.91	$1.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.95 / $2.24	Facility		$1.62	$1.95	$2.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.19 / $2.57	Professional		$1.95	$2.19	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.19 / $4.57	Facility		$1.55	$2.19	$4.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.29 / $32.36	Professional		$1.05	$1.29	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.86 / $3.80	Professional		$1.62	$1.86	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.76 / $1.00	Professional		$0.46	$0.76	$1.00