Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.51 / $2.57	Facility		$1.12	$1.51	$2.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.86 / $2.75	Professional		$1.26	$1.86	$2.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.26 / $3.47	Facility		$0.72	$1.26	$3.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.72 / $1.20	Professional		$0.68	$0.72	$1.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.71 / $0.71	Facility		$0.71	$0.71	$0.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $0.95	Professional		$0.95	$0.95	$0.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.68	Facility		$0.63	$0.63	$0.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $3.63	Professional		$0.68	$0.68	$3.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.68	Facility		$0.63	$0.63	$0.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $3.63	Professional		$0.68	$0.68	$3.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.26 / $1.41	Professional		$0.93	$1.26	$1.41
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.12 / $1.58	Professional		$0.68	$1.12	$1.58
United Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Facility		$0.68	$0.68	$0.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.72	Professional		$0.68	$0.68	$0.72