Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Facility		$10.59	$10.59	$10.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.44 / $25.00	Professional		$3.15	$3.44	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.00 / $24.45	Professional		$12.00	$15.00	$24.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $4.22 / $4.22	Facility		$4.22	$4.22	$4.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $14.71 / $45.09	Facility		$14.71	$14.71	$45.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $4.83 / $29.25	Professional		$4.83	$4.83	$29.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $45.09 / $45.09	Facility		$45.09	$45.09	$45.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $38.00 / $42.00	Professional		$4.83	$38.00	$42.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00