Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $43.65 / $169.82	Facility		$18.62	$43.65	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $46.77	Professional		$13.80	$16.60	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $28.84	Professional		$8.32	$11.22	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $33.88	Facility		$16.98	$19.50	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.22 / $17.38	Professional		$8.71	$11.22	$17.38
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
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 $12.30 / $19.50 / $22.91	Facility		$12.30	$19.50	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $25.12	Professional		$12.02	$18.62	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $41.69	Facility		$12.02	$12.02	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $33.11	Professional		$9.33	$17.38	$33.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $52.48 / $173.78	Facility		$16.22	$52.48	$173.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $34.67	Professional		$7.41	$14.79	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $22.91	Professional		$12.59	$15.14	$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 $12.88 / $20.89 / $40.74	Professional		$12.88	$20.89	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.59 / $19.95	Facility		$6.61	$12.59	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $22.39	Professional		$7.76	$11.22	$22.39