Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $47.86 / $138.04	Facility		$15.49	$47.86	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $70.79	Professional		$10.00	$12.02	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $18.20	Professional		$6.03	$8.91	$18.20
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 / $8.32 / $17.38	Professional		$6.76	$8.32	$17.38
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $13.49	Facility		$9.33	$9.33	$13.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.96 / $10.96	Professional		$9.55	$10.96	$10.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.45 / $16.98	Facility		$13.49	$14.45	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $18.20	Professional		$8.91	$13.49	$18.20
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 / $8.91 / $25.70	Professional		$6.92	$8.91	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $33.88 / $93.33	Facility		$8.13	$33.88	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $6.92 / $22.91	Professional		$2.63	$6.92	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $16.98	Professional		$9.12	$11.22	$16.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.39 / $29.51	Facility		$16.22	$22.39	$29.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $29.51	Professional		$9.55	$15.14	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.91 / $13.49	Facility		$4.79	$8.91	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $16.22	Professional		$5.75	$8.13	$16.22