Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $8.66	Facility		$5.00	$5.00	$8.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $35.52	Professional		$6.19	$6.19	$35.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $16.93	Professional		$0.02	$0.02	$16.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.19 / $0.23	Professional		$0.19	$0.19	$0.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $22.55 / $64.00	Facility		$1.19	$22.55	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $22.55	Professional		$19.17	$19.17	$22.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $22.55 / $22.55	Professional		$19.17	$22.55	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00