Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $47.86 / $144.54	Facility		$23.44	$47.86	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $50.12	Professional		$15.85	$19.05	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $15.14	Professional		$14.45	$15.14	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $44.67	Facility		$21.88	$25.70	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $28.18	Professional		$9.55	$12.02	$28.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $30.20	Facility		$15.85	$25.12	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $32.36	Professional		$15.85	$23.99	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $75.86	Facility		$15.85	$15.85	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $35.48	Professional		$10.96	$13.18	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.54 / $144.54	Facility		$15.85	$27.54	$144.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $31.62	Professional		$10.96	$15.85	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $29.51	Professional		$16.22	$19.95	$29.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $47.86	Professional		$15.85	$25.12	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $23.99	Facility		$8.71	$13.49	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $25.12	Professional		$10.23	$14.45	$25.12