Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $35.48 / $151.36	Facility		$16.98	$35.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $35.48	Professional		$12.59	$15.14	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $14.45	Professional		$8.91	$11.75	$14.45
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 $8.32 / $10.47 / $23.44	Professional		$8.32	$10.47	$23.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $22.39	Facility		$12.02	$18.62	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $23.99	Professional		$11.75	$17.78	$23.99
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 $8.51 / $10.96 / $31.62	Professional		$8.51	$10.96	$31.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $40.74 / $173.78	Facility		$15.85	$40.74	$173.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.30 / $31.62	Professional		$7.24	$12.30	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $22.39	Professional		$12.02	$14.79	$22.39
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $37.15	Professional		$12.59	$19.50	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $11.75 / $17.78	Facility		$6.46	$11.75	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $23.44	Professional		$7.59	$10.72	$23.44