Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Facility		$2.00	$2.00	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.98	Professional		$2.00	$3.02	$3.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.27 / $6.17	Professional		$3.72	$4.27	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.98 / $5.89	Facility		$3.72	$3.98	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $7.24	Professional		$3.39	$4.79	$7.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $4.37	Professional		$3.24	$3.24	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $3.63	Professional		$1.62	$1.62	$3.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.07 / $5.37	Professional		$3.72	$4.07	$5.37
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.76 / $12.30	Professional		$5.25	$6.76	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.89 / $3.89	Facility		$3.02	$3.89	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $5.89 / $9.77	Professional		$1.55	$5.89	$9.77