Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.00 / $2.34	Facility		$1.58	$2.00	$2.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.00 / $2.34	Professional		$1.62	$2.00	$2.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Professional		$25.70	$25.70	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.89 / $1.32	Professional		$0.79	$0.89	$1.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Facility		$0.79	$0.79	$0.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.07	Professional		$0.79	$0.79	$1.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Facility		$0.79	$0.79	$0.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.07	Professional		$0.79	$0.79	$1.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.87	Professional		$0.79	$0.79	$0.87