Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $8.66 / $35.00	Facility		$4.83	$8.66	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.66 / $10.83	Professional		$5.00	$8.66	$10.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.55 / $5.55	Professional		$5.55	$5.55	$5.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $12.20 / $19.63	Facility		$9.78	$12.20	$19.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.23 / $11.97	Professional		$2.40	$3.23	$11.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $11.09 / $14.97	Facility		$2.75	$11.09	$14.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $11.02 / $14.97	Professional		$9.43	$11.02	$14.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $5.15 / $18.89	Facility		$3.29	$5.15	$18.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $11.63	Professional		$2.63	$2.63	$11.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $5.23 / $22.26	Facility		$2.46	$5.23	$22.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $7.02	Professional		$2.63	$2.63	$7.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.00 / $11.80	Professional		$2.10	$3.00	$11.80