Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $46.77	Facility		$16.98	$33.88	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $38.90	Professional		$12.88	$16.98	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $12.88	Professional		$8.32	$11.22	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $34.67	Facility		$16.98	$19.50	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $16.60	Professional		$9.33	$10.96	$16.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $21.38	Facility		$12.88	$12.88	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.30 / $63.10	Facility		$12.02	$12.30	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $26.92	Professional		$9.55	$15.14	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $21.38 / $63.10	Facility		$10.23	$21.38	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $12.02 / $31.62	Professional		$1.62	$12.02	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $22.91	Professional		$12.59	$15.49	$22.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $43.65	Professional		$12.02	$19.50	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.88 / $18.62	Facility		$6.76	$12.88	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $25.70	Professional		$7.76	$11.22	$25.70