Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $42.66 / $169.82	Facility		$18.62	$42.66	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $40.74	Professional		$14.13	$18.20	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $36.31	Facility		$18.20	$20.89	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $25.12	Professional		$9.77	$12.02	$25.12
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $22.91	Facility		$12.88	$12.88	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $26.30	Professional		$12.88	$19.50	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $66.07	Facility		$12.88	$12.88	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $28.18	Professional		$10.00	$12.59	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $41.69 / $147.91	Facility		$12.88	$41.69	$147.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $37.15	Professional		$10.00	$15.85	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $24.55	Professional		$13.18	$16.22	$24.55
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $45.71	Professional		$12.88	$20.89	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $19.50	Facility		$7.08	$13.49	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $23.44	Professional		$8.32	$11.75	$23.44