Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $81.28	Facility		$32.36	$50.12	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $40.74	Professional		$10.00	$26.92	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $36.31 / $63.10	Facility		$31.62	$36.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.24 / $33.88	Professional		$5.50	$7.24	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $38.90	Facility		$23.44	$23.44	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $537.03 / $954.99	Professional		$42.66	$537.03	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $120.23	Facility		$22.39	$22.39	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $48.98	Professional		$22.39	$38.90	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $120.23	Facility		$22.39	$35.48	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $36.31 / $67.61	Professional		$22.39	$36.31	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.39 / $33.88	Facility		$12.30	$22.39	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $34.67	Professional		$14.45	$20.42	$34.67