Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $144.54	Facility		$17.78	$38.90	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $44.67	Professional		$13.80	$16.98	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.22 / $13.18	Professional		$8.71	$11.22	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.95 / $34.67	Facility		$17.38	$19.95	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $23.99	Professional		$9.33	$11.48	$23.99
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.95 / $23.44	Facility		$12.88	$19.95	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $25.12	Professional		$12.30	$18.62	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $39.81	Facility		$12.30	$12.30	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $35.48	Professional		$9.55	$12.30	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $34.67 / $134.90	Facility		$12.59	$34.67	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $30.90	Professional		$9.55	$15.14	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $23.44	Professional		$12.59	$15.49	$23.44
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 $12.30 / $19.95 / $43.65	Professional		$12.30	$19.95	$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 $7.94 / $11.22 / $22.39	Professional		$7.94	$11.22	$22.39