Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $3.98	Facility		$1.00	$2.00	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.66 / $3.98	Professional		$1.00	$1.66	$3.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $38.90 / $57.54	Professional		$0.40	$38.90	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.41 / $0.62	Facility		$0.39	$0.41	$0.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.44 / $0.71	Professional		$0.34	$0.44	$0.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.30	Facility		$0.28	$0.28	$0.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Professional		$0.39	$0.39	$0.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.36	Professional		$0.24	$0.24	$0.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.71 / $0.93	Professional		$0.56	$0.71	$0.93
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.71 / $0.71	Facility		$0.71	$0.71	$0.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.65 / $1.15	Professional		$0.49	$0.65	$1.15
United Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.40 / $0.40	Facility		$0.31	$0.40	$0.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.54 / $0.87	Professional		$0.15	$0.54	$0.87