Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $14.13	Facility		$8.91	$8.91	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $14.13	Professional		$7.08	$8.91	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $18.20	Professional		$10.72	$10.72	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.13 / $20.89	Facility		$13.18	$14.13	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $20.89	Professional		$10.47	$13.18	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $14.45	Professional		$12.88	$14.45	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $23.44	Professional		$14.45	$17.78	$23.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $36.31	Professional		$15.49	$19.95	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Facility		$10.72	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.49 / $25.70	Professional		$5.01	$15.49	$25.70