Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $2.24 / $13.49	Facility		$0.43	$2.24	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.50 / $1.86	Professional		$0.04	$0.50	$1.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $17.78 / $36.31	Professional		$2.00	$17.78	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $0.13	Facility		$0.02	$0.04	$0.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.28 / $0.46	Professional		$0.02	$0.28	$0.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.30 / $0.41	Facility		$0.23	$0.30	$0.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $0.71	Professional		$0.28	$0.30	$0.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $85.11	Facility		$0.02	$0.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.78 / $85.11	Facility		$0.02	$0.78	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Professional		$0.02	$0.02	$0.05
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02