Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $131.83	Facility		$87.10	$89.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $128.82	Professional		$19.05	$19.05	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.96 / $11.22	Professional		$5.89	$10.96	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $19.95	Professional		$6.76	$8.51	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $28.18	Facility		$18.62	$23.44	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.79 / $29.51	Professional		$14.13	$14.79	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.51 / $4.17	Facility		$0.35	$1.51	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $31.62	Professional		$10.96	$12.59	$31.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.51 / $7.41	Facility		$0.35	$1.51	$7.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $144.54	Professional		$9.12	$10.96	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $50.12	Professional		$30.20	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.30 / $16.60	Facility		$8.32	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $31.62	Professional		$10.00	$13.18	$31.62