Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $18.62	Facility		$10.00	$14.45	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $15.14	Professional		$7.08	$10.00	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $20.89	Professional		$7.59	$9.55	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $22.39	Facility		$16.98	$19.50	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.91	Professional		$22.39	$22.39	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $8.32	Professional		$5.01	$6.03	$8.32
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $40.74	Professional		$17.38	$19.50	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $10.72	Professional		$4.79	$7.94	$10.72