Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $21.94 / $40.86	Facility		$11.09	$21.94	$40.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $12.75 / $21.55	Professional		$10.81	$12.75	$21.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.13 / $14.43	Professional		$9.03	$10.13	$14.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $16.30 / $26.97	Professional		$13.60	$16.30	$26.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $11.07 / $14.94	Facility		$8.30	$11.07	$14.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $13.84 / $13.84	Professional		$12.23	$13.84	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $17.35 / $27.91	Professional		$12.31	$17.35	$27.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $17.55 / $25.39	Professional		$12.97	$17.55	$25.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $12.50 / $18.45	Professional		$9.06	$12.50	$18.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $15.88 / $28.55	Professional		$10.97	$15.88	$28.55