Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $123.03	Facility		$81.28	$85.11	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $123.03	Professional		$19.05	$19.05	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.17 / $10.96	Professional		$5.89	$6.17	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.31 / $16.60	Professional		$5.01	$6.31	$16.60
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 $5.50 / $10.96 / $12.59	Professional		$5.50	$10.96	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$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 $8.51 / $12.88 / $23.99	Professional		$8.51	$12.88	$23.99