Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $37.15 / $75.86	Facility		$18.20	$37.15	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $40.74	Professional		$12.02	$17.38	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $39.81	Facility		$19.95	$22.91	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $25.12	Professional		$8.71	$10.96	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $25.12	Facility		$11.48	$11.48	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $74.13	Facility		$14.13	$14.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $28.18	Professional		$7.94	$11.22	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $74.13	Facility		$14.13	$22.39	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $21.88	Professional		$7.94	$10.00	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $26.92	Professional		$14.45	$17.78	$26.92
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $50.12	Professional		$14.13	$22.91	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.96 / $21.88	Facility		$7.76	$10.96	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $22.39	Professional		$7.59	$10.96	$22.39