Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $48.49 / $189.76	Facility		$9.00	$48.49	$189.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.98 / $3.20 / $5.56	Facility		$1.98	$3.20	$5.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $50.00 / $78.30	Professional		$3.36	$50.00	$78.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.45 / $3.45	Facility		$2.82	$3.45	$3.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $85.00	Facility		$2.02	$2.02	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.39	Professional		$2.02	$2.02	$2.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.72 / $20.50	Facility		$1.93	$2.72	$20.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.39	Professional		$2.02	$2.02	$2.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00