Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $17.67 / $31.00	Facility		$17.67	$17.67	$31.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $17.67 / $22.09	Professional		$12.99	$17.67	$22.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Professional		$26.00	$26.00	$26.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $16.04 / $36.74	Professional		$12.35	$16.04	$36.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.84 / $33.40 / $41.35	Facility		$27.84	$33.40	$41.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $36.19 / $59.61	Professional		$30.62	$36.19	$59.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $17.88 / $32.63	Facility		$17.88	$17.88	$32.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $24.85 / $30.06	Professional		$19.88	$24.85	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.76 / $17.67	Professional		$9.24	$13.76	$17.67