Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $58.00	Facility		$23.93	$23.93	$58.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $23.93 / $40.59	Professional		$20.80	$23.93	$40.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $35.49	Professional		$32.03	$32.03	$35.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $17.22 / $49.77	Professional		$17.22	$17.22	$49.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $37.71 / $50.91	Facility		$28.28	$37.71	$50.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $37.71 / $80.73	Professional		$24.81	$37.71	$80.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.66 / $48.22	Facility		$22.39	$26.66	$48.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $32.93	Professional		$22.66	$22.66	$32.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $26.66	Facility		$22.51	$26.66	$26.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $26.66 / $26.66	Professional		$22.66	$26.66	$26.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $26.40 / $34.61	Professional		$19.20	$26.40	$34.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $18.82 / $27.33	Professional		$12.54	$18.82	$27.33