Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $104.71 / $512.86	Facility		$2.04	$104.71	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $6.03	Professional		$1.00	$1.00	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.07 / $12.30	Facility		$2.04	$4.07	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $3.24	Professional		$1.91	$1.91	$3.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Facility		$1.78	$1.78	$1.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.40	Professional		$1.78	$1.78	$2.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.91	Facility		$1.78	$1.78	$1.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.91 / $1.91	Professional		$0.93	$1.91	$1.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.78 / $5.50	Facility		$0.71	$1.78	$5.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.91 / $1.91	Professional		$0.85	$1.91	$1.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $2.75	Professional		$1.78	$2.09	$2.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $1.32 / $2.24	Professional		$0.81	$1.32	$2.24
United Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.65 / $1.51	Facility		$0.16	$0.65	$1.51
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.91 / $1.91	Professional		$0.76	$1.91	$1.91