Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $126.00	Professional		$0.02	$0.02	$126.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.03 / $13.15	Professional		$4.03	$4.03	$13.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $22.90 / $29.44	Facility		$16.36	$22.90	$29.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $21.81 / $35.92	Professional		$14.18	$21.81	$35.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.52 / $4.19	Facility		$0.35	$1.52	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.57 / $26.85	Professional		$11.06	$12.57	$26.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.52 / $7.36	Facility		$0.35	$1.52	$7.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $11.06 / $67.50	Professional		$5.58	$11.06	$67.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $13.27 / $28.73	Professional		$8.28	$13.27	$28.73