Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $14.00	Facility		$6.63	$6.63	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $6.63 / $8.28	Professional		$4.71	$6.63	$8.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $8.86	Professional		$8.86	$8.86	$8.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.02 / $13.78	Professional		$4.63	$6.02	$13.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $12.53 / $15.51	Facility		$10.44	$12.53	$15.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.57 / $22.35	Professional		$11.48	$13.57	$22.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Facility		$12.24	$12.24	$12.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $5.33	Professional		$5.33	$5.33	$5.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.20 / $12.30 / $19.37	Professional		$8.20	$12.30	$19.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.16 / $6.63	Professional		$2.95	$5.16	$6.63