Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $33.00	Facility		$12.14	$12.14	$33.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $12.14 / $19.25	Professional		$11.84	$12.14	$19.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $14.81 / $14.81	Professional		$14.81	$14.81	$14.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $27.35 / $70.84	Facility		$23.34	$27.35	$70.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $14.94 / $32.81	Professional		$12.45	$14.94	$32.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $24.86 / $34.79	Facility		$18.64	$24.86	$34.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $23.66 / $53.23	Professional		$16.82	$23.66	$53.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $32.65	Facility		$16.62	$16.62	$32.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $20.67	Professional		$12.13	$12.13	$20.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $16.62	Facility		$16.62	$16.62	$16.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $16.62 / $16.62	Professional		$12.13	$16.62	$16.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $14.50 / $19.02	Professional		$10.55	$14.50	$19.02
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $12.40 / $19.11	Professional		$8.27	$12.40	$19.11