Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $75.86	Facility		$27.54	$52.48	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $60.26	Professional		$22.91	$28.18	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $36.31 / $63.10	Facility		$31.62	$36.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $43.65	Professional		$14.13	$18.20	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $38.90	Facility		$22.91	$22.91	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $120.23	Facility		$22.39	$22.39	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $46.77	Professional		$15.14	$15.85	$46.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $35.48 / $120.23	Facility		$17.38	$35.48	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $29.51	Professional		$13.80	$15.85	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $42.66	Professional		$25.70	$30.90	$42.66
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $36.31 / $79.43	Professional		$22.39	$36.31	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.39 / $33.88	Facility		$12.30	$22.39	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $34.67	Professional		$14.45	$20.42	$34.67