Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.30 / $151.36	Facility		$10.96	$26.30	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $30.90	Professional		$9.33	$12.02	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.31 / $16.60	Professional		$5.37	$6.31	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.18 / $23.44	Facility		$11.48	$13.18	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.91 / $14.79	Professional		$5.50	$8.91	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.18 / $15.85	Facility		$7.08	$13.18	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $16.98	Professional		$8.13	$12.59	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $42.66	Facility		$8.13	$8.13	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.96 / $20.42	Professional		$5.75	$10.96	$20.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $24.55 / $144.54	Facility		$8.71	$24.55	$144.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $20.42	Professional		$4.79	$6.61	$20.42
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 $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.18 / $25.12	Professional		$8.91	$13.18	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.13 / $12.59	Facility		$4.57	$8.13	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.31 / $14.79	Professional		$3.72	$6.31	$14.79