Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $30.20 / $77.62	Facility		$14.13	$30.20	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $33.88	Professional		$10.00	$12.88	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $26.92	Professional		$10.00	$10.00	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $26.92	Facility		$13.18	$15.14	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $18.62	Professional		$7.08	$8.91	$18.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $18.20	Facility		$9.77	$15.14	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $19.50	Professional		$9.33	$14.45	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.55 / $48.98	Facility		$9.33	$9.55	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $26.92	Professional		$7.41	$9.33	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $18.20 / $58.88	Facility		$6.31	$18.20	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $23.99	Professional		$6.92	$9.77	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $17.78	Professional		$9.77	$12.02	$17.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $31.62	Professional		$10.00	$15.85	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.00 / $14.45	Facility		$5.25	$10.00	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $17.38	Professional		$6.03	$8.71	$17.38