Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $12.30 / $17.38	Facility		$6.17	$12.30	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $13.49	Professional		$6.03	$6.03	$13.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $23.44	Professional		$21.88	$21.88	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.18 / $40.74	Facility		$6.76	$13.18	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.92 / $11.22	Professional		$6.17	$6.92	$11.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $6.17	Facility		$5.89	$5.89	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $38.90	Professional		$6.17	$6.17	$38.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $6.17	Facility		$5.89	$5.89	$6.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $38.90	Professional		$6.17	$6.17	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.13 / $10.23	Professional		$6.17	$8.13	$10.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.33 / $12.88	Professional		$5.62	$9.33	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $8.91	Professional		$6.17	$6.17	$8.91