Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $29.75 / $70.00	Professional		$29.75	$29.75	$70.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $7.74	Professional		$4.75	$4.75	$7.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $15.83 / $15.83	Facility		$15.83	$15.83	$15.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Facility		$99.97	$99.97	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $192.19	Professional		$20.89	$20.89	$192.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Facility		$99.97	$99.97	$99.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $72.00 / $82.00	Professional		$20.89	$72.00	$82.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00