Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $13.18 / $26.30	Facility		$5.25	$13.18	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $28.84	Professional		$7.08	$10.23	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $43.65	Professional		$6.03	$7.76	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.46 / $14.79	Professional		$5.01	$6.46	$14.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.13 / $15.85	Facility		$12.30	$14.13	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.60	Professional		$15.85	$15.85	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.51	Professional		$5.01	$5.01	$8.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.98 / $10.72	Professional		$3.39	$3.98	$10.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $25.70	Professional		$10.72	$14.79	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $7.41	Professional		$3.47	$5.75	$7.41