Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $18.78 / $304.00	Facility		$6.26	$18.78	$304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $21.09 / $72.93	Professional		$5.47	$21.09	$72.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $8.60 / $13.84	Facility		$6.91	$8.60	$13.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.13 / $7.82	Professional		$2.66	$3.13	$7.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $8.21 / $10.56	Facility		$5.98	$8.21	$10.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.82 / $12.87	Professional		$5.08	$7.82	$12.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $8.05 / $43.31	Facility		$5.08	$8.05	$43.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.08 / $11.36	Professional		$3.31	$5.08	$11.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $8.05 / $43.31	Facility		$5.08	$8.05	$43.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.63 / $9.69	Professional		$2.66	$3.63	$9.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.45 / $9.39	Professional		$5.87	$6.45	$9.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $4.48 / $10.24	Professional		$3.08	$4.48	$10.24