Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $15.29 / $16.82	Facility		$13.10	$15.29	$16.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $14.08 / $20.16	Professional		$7.73	$14.08	$20.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	25	$18.64	$18.64	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $19.96	Professional		$17.66	$17.66	$19.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $18.54 / $27.19	Facility		$15.79	$18.54	$27.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $22.89	Professional		$20.14	$20.14	$22.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $15.89 / $28.20	Professional		$8.61	$15.89	$28.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $16.62 / $27.76	Professional		$8.61	$16.62	$27.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $35.36 / $50.72	Professional		$25.98	$35.36	$50.72
Optum Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.12 / $26.18	Professional		$11.12	$18.12	$26.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.96 / $20.82	Professional		$7.58	$10.96	$20.82