Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $8.32 / $60.26	Facility		$0.95	$8.32	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.38 / $1.48	Professional		$0.16	$0.38	$1.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $16.98 / $22.91	Professional		$0.22	$16.98	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.43 / $1.29	Facility		$0.22	$0.43	$1.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.35	Professional		$0.20	$0.20	$0.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.18 / $0.27	Professional		$0.13	$0.18	$0.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.20	Facility		$0.19	$0.19	$0.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.41	Professional		$0.20	$0.20	$0.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $2.00 / $8.71	Facility		$0.19	$2.00	$8.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $0.65	Professional		$0.19	$0.20	$0.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.28	Professional		$0.20	$0.22	$0.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.26 / $0.42	Professional		$0.18	$0.26	$0.42
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $0.18	Facility		$0.08	$0.08	$0.18
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.20 / $0.24	Professional		$0.08	$0.20	$0.24