Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $41.69 / $117.49	Facility		$14.79	$41.69	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $28.84	Professional		$10.00	$12.30	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $10.96	Professional		$6.17	$9.55	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $25.12	Facility		$12.59	$14.45	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.76 / $12.02	Professional		$6.76	$7.76	$12.02
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.45 / $16.98	Facility		$8.32	$14.45	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $18.62	Professional		$8.91	$13.80	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $28.84	Facility		$8.91	$8.91	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.96 / $19.50	Professional		$6.92	$10.96	$19.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $47.86 / $109.65	Facility		$15.49	$47.86	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.96 / $21.88	Professional		$6.92	$10.96	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $16.98	Professional		$9.33	$11.22	$16.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $26.92	Professional		$8.91	$14.45	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.33 / $13.80	Facility		$4.79	$9.33	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $16.60	Professional		$5.75	$8.13	$16.60