Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $34.67 / $151.36	Facility		$16.22	$34.67	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $38.90	Professional		$11.75	$15.14	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $30.90	Facility		$15.14	$17.78	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $21.38	Professional		$8.32	$10.23	$21.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $19.05	Facility		$11.48	$11.48	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $61.66	Facility		$10.96	$10.96	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.96 / $23.99	Professional		$8.51	$10.96	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $34.67 / $158.49	Facility		$11.22	$34.67	$158.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $28.18	Professional		$8.71	$12.59	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $20.42	Professional		$11.22	$13.80	$20.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $38.90	Professional		$10.96	$17.38	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.48 / $16.60	Facility		$6.03	$11.48	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $19.95	Professional		$7.08	$10.00	$19.95