Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $131.83	Facility		$14.13	$35.48	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $102.33	Professional		$10.00	$12.02	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.33 / $10.72	Professional		$6.76	$9.33	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.13 / $25.12	Facility		$12.30	$14.13	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $17.38	Professional		$6.76	$8.13	$17.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.13 / $16.98	Facility		$7.41	$14.13	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $18.20	Professional		$8.71	$13.49	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.91 / $28.18	Facility		$8.71	$8.91	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $25.12	Professional		$6.92	$8.71	$25.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $27.54 / $91.20	Facility		$13.80	$27.54	$91.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $25.12	Professional		$7.08	$8.71	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $16.60	Professional		$9.12	$11.22	$16.60
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $31.62	Professional		$8.71	$14.13	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.33 / $13.49	Facility		$4.90	$9.33	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.13 / $16.22	Professional		$5.62	$8.13	$16.22