Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $38.02	Facility		$14.79	$21.38	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $23.99	Professional		$7.08	$9.33	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.75 / $20.42	Facility		$10.23	$11.75	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $23.99	Professional		$10.23	$14.79	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $21.38	Facility		$10.96	$10.96	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $13.18 / $34.67	Professional		$5.01	$13.18	$34.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $37.15	Facility		$21.38	$34.67	$37.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $34.67	Professional		$10.96	$19.95	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $13.80	Professional		$8.32	$10.47	$13.80
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $25.70	Professional		$10.72	$15.14	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10.00 / $10.96	Facility		$3.98	$10.00	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $12.02	Professional		$4.68	$6.61	$12.02