Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $18.43 / $53.10	Facility		$6.89	$18.43	$53.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $7.75 / $12.91	Professional		$4.55	$7.75	$12.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $9.47 / $15.24	Facility		$7.60	$9.47	$15.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $9.51	Professional		$4.25	$4.25	$9.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $8.61 / $11.62	Facility		$5.98	$8.61	$11.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $11.19 / $20.66	Professional		$7.32	$11.19	$20.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $8.86 / $32.64	Facility		$5.60	$8.86	$32.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $8.06 / $14.82	Professional		$4.46	$8.06	$14.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $9.02 / $58.08	Facility		$5.60	$9.02	$58.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $8.06 / $13.70	Professional		$4.46	$8.06	$13.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Professional		$4.74	$4.74	$4.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.89 / $11.83	Professional		$5.00	$6.89	$11.83