Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $52.48 / $151.36	Facility		$23.99	$52.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $64.57	Professional		$15.85	$21.38	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.14	Professional		$14.45	$14.45	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $44.67	Facility		$21.88	$25.70	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $28.18	Professional		$9.55	$12.02	$28.18
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $30.20	Facility		$13.18	$25.12	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $32.36	Professional		$15.49	$23.99	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $67.61	Facility		$15.49	$15.49	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $34.67	Professional		$10.96	$13.18	$34.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $50.12 / $263.03	Facility		$22.91	$50.12	$263.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $25.70	Professional		$10.72	$12.30	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $29.51	Professional		$16.22	$19.95	$29.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $47.86	Professional		$16.98	$25.70	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $23.99	Facility		$8.71	$13.49	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $25.12	Professional		$10.00	$14.45	$25.12