Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $4.47 / $56.23	Facility		$1.10	$4.47	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.87 / $5.75	Professional		$0.40	$0.87	$5.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $7.94 / $10.00	Professional		$0.09	$7.94	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.19 / $0.59	Facility		$0.10	$0.19	$0.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.17	Professional		$0.09	$0.10	$0.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.83	Facility		$0.09	$0.09	$0.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.83 / $0.83	Professional		$0.22	$0.83	$0.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.79 / $5.25	Facility		$0.32	$0.79	$5.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.83 / $0.83	Professional		$0.09	$0.83	$0.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.11 / $0.13	Professional		$0.09	$0.11	$0.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.15 / $0.21	Professional		$0.09	$0.15	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.13 / $1.45	Professional		$0.09	$0.13	$1.45