Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.08 / $40.00	Facility		$6.17	$8.08	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.80 / $23.56	Professional		$6.17	$8.80	$23.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $9.16	Professional		$8.18	$8.18	$9.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $23.35	Professional		$14.13	$14.13	$23.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $13.08 / $17.32	Facility		$10.90	$13.08	$17.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $19.32 / $39.58	Professional		$13.08	$19.32	$39.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $21.12 / $21.41	Facility		$16.76	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $21.12	Professional		$15.42	$15.42	$21.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $21.12 / $21.41	Facility		$16.76	$21.12	$21.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $21.41	Professional		$15.42	$21.12	$21.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.00 / $10.33	Facility		$5.50	$8.00	$10.33
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.34 / $12.23	Professional		$4.88	$7.34	$12.23