Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $61.66 / $302.00	Facility		$18.62	$61.66	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.89 / $72.44	Professional		$12.59	$20.89	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $10.72	Professional		$7.41	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.20 / $31.62	Facility		$15.85	$18.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $19.95	Professional		$6.92	$8.71	$19.95
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $21.38	Facility		$17.38	$18.20	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $23.44	Professional		$11.22	$17.38	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $36.31	Facility		$11.22	$11.22	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.23 / $20.89	Professional		$7.76	$10.23	$20.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $24.55 / $114.82	Facility		$3.89	$24.55	$114.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.76 / $39.81	Professional		$4.47	$7.76	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $21.38	Professional		$11.75	$14.13	$21.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $39.81	Professional		$11.22	$18.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $11.22 / $17.38	Facility		$6.17	$11.22	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $17.38	Professional		$7.24	$10.47	$17.38