Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $112.20	Facility		$75.86	$77.62	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $112.20	Professional		$19.05	$19.05	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.17 / $10.96	Professional		$6.03	$6.17	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $17.78	Professional		$5.50	$6.92	$17.78
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 / $30.20	Professional		$10.96	$12.59	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.51 / $4.17	Facility		$0.35	$1.51	$4.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $15.85	Professional		$10.96	$15.85	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
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