Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.92 / $7.94	Facility		$5.01	$6.92	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.08	Professional		$3.02	$5.01	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.89	Professional		$4.27	$4.27	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.68 / $10.00	Professional		$3.63	$4.68	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $9.55 / $10.72	Facility		$8.32	$9.55	$10.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $11.22	Professional		$10.72	$10.72	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.61 / $32.36	Professional		$5.37	$6.61	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $19.50	Professional		$8.32	$9.33	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.89 / $5.01	Professional		$2.34	$3.89	$5.01