Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.75 / $16.98	Facility		$5.89	$11.75	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.50 / $10.00	Professional		$3.98	$5.50	$10.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $5.89	Professional		$2.45	$2.45	$5.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.17 / $10.72	Facility		$5.37	$6.17	$10.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $5.37 / $8.51	Professional		$2.34	$5.37	$8.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $6.76	Facility		$4.17	$4.17	$6.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $19.95	Facility		$3.80	$3.80	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $5.89	Professional		$3.09	$3.09	$5.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.03 / $19.95	Facility		$3.80	$6.03	$19.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $5.89	Professional		$3.09	$3.09	$5.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.79 / $7.24	Professional		$3.89	$4.79	$7.24
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.17 / $13.49	Professional		$3.80	$6.17	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.24 / $5.89	Facility		$2.09	$3.24	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.17 / $6.17	Professional		$3.47	$4.17	$6.17