Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $49.00	Facility		$23.00	$23.00	$49.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $23.00 / $31.04	Professional		$11.26	$23.00	$31.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $38.67 / $62.15	Facility		$32.97	$38.67	$62.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $20.82 / $49.42	Professional		$16.95	$20.82	$49.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $36.24 / $48.92	Facility		$27.18	$36.24	$48.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $36.24 / $77.59	Professional		$23.56	$36.24	$77.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $42.47	Facility		$24.26	$24.26	$42.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $28.48	Professional		$17.71	$17.71	$28.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $24.26	Professional		$17.71	$24.26	$24.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.50 / $36.05	Professional		$20.00	$27.50	$36.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.07 / $27.86	Professional		$12.05	$18.07	$27.86