Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $30.00	Facility		$11.39	$11.39	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $11.39 / $14.64	Professional		$7.71	$11.39	$14.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $14.35 / $14.35	Professional		$14.35	$14.35	$14.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $9.00 / $23.32	Professional		$7.97	$9.00	$23.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $17.94 / $24.22	Facility		$13.46	$17.94	$24.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $17.94 / $38.40	Professional		$11.66	$17.94	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $10.78 / $21.02	Facility		$4.76	$10.78	$21.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $13.31	Professional		$9.16	$9.16	$13.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $10.78 / $10.78	Facility		$9.17	$10.78	$10.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $10.78 / $10.78	Professional		$9.16	$10.78	$10.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.48 / $17.68	Professional		$9.80	$13.48	$17.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $8.35 / $11.47	Professional		$5.74	$8.35	$11.47