Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $125.00 / $160.00	Professional		$95.00	$125.00	$160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $110.00 / $180.95	Professional		$93.50	$110.00	$180.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.75 / $125.00 / $40,499.60	Facility		$60.75	$125.00	$40,499.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $109.35 / $45,899.54	Professional		$78.98	$109.35	$45,899.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $121.20 / $131.25	Facility		$90.00	$121.20	$131.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $130.00	Professional		$90.00	$120.00	$130.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $120.00 / $125.00	Facility		$90.00	$120.00	$125.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $115.00 / $143.22	Professional		$90.00	$115.00	$143.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $95.00	Professional		$80.00	$80.00	$95.00