Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $62.50 / $80.00	Professional		$50.00	$62.50	$80.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $40.00 / $65.80	Professional		$34.00	$40.00	$65.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $62.50 / $40,499.60	Facility		$30.38	$62.50	$40,499.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $54.68 / $45,899.54	Professional		$39.49	$54.68	$45,899.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $65.63	Facility		$45.00	$60.00	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $65.00	Professional		$45.00	$60.00	$65.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $65.63	Facility		$45.00	$60.00	$65.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $70.00	Professional		$45.00	$55.00	$70.00
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 $40.00 / $40.00 / $55.00	Professional		$40.00	$40.00	$55.00