Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $131.83	Facility		$87.10	$91.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $131.83	Professional		$19.05	$19.05	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.96 / $12.59	Professional		$5.89	$10.96	$12.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.27 / $13.18	Professional		$3.31	$4.27	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $25.12	Facility		$18.62	$18.62	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $29.51	Professional		$14.13	$21.88	$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 / $21.38	Professional		$10.96	$12.59	$21.38
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 $6.03 / $10.96 / $12.59	Professional		$6.03	$10.96	$12.59
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 $8.51 / $12.88 / $23.99	Professional		$8.51	$12.88	$23.99