Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $39.81 / $100.00	Facility		$18.20	$39.81	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $43.65	Professional		$12.88	$16.98	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $33.11	Facility		$16.60	$19.05	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $22.91	Professional		$8.91	$10.96	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $22.39	Facility		$12.30	$19.05	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $24.55	Professional		$11.75	$18.20	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $38.02	Facility		$11.75	$11.75	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $33.88	Professional		$9.33	$11.75	$33.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.05 / $97.72	Facility		$9.77	$19.05	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $33.88	Professional		$9.33	$16.98	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $22.39	Professional		$12.30	$14.79	$22.39
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $41.69	Professional		$11.75	$19.05	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.30 / $18.20	Facility		$6.46	$12.30	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $21.88	Professional		$7.59	$10.96	$21.88