Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $30.90	Facility		$14.13	$20.89	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $25.70	Professional		$12.88	$15.85	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $52.48	Professional		$23.99	$33.88	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $63.10	Facility		$23.99	$36.31	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $43.65	Professional		$30.90	$30.90	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $28.84	Professional		$20.89	$20.89	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $28.84	Professional		$20.89	$20.89	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $56.23	Professional		$29.51	$44.67	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.05 / $28.84	Facility		$14.45	$19.05	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $27.54	Professional		$11.22	$16.98	$27.54