Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $151.36	Facility		$100.00	$102.33	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $151.36	Professional		$19.05	$19.05	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.03 / $10.96	Professional		$5.89	$6.03	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.24 / $17.78	Professional		$5.62	$7.24	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.51 / $4.17	Facility		$0.35	$1.51	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $21.38	Professional		$9.33	$10.96	$21.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.51 / $7.41	Facility		$0.35	$1.51	$7.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $12.59	Professional		$5.01	$10.96	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.30 / $16.60	Facility		$8.32	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $26.30	Professional		$9.33	$13.18	$26.30