Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $43.65 / $117.49	Facility		$20.89	$43.65	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $44.67	Professional		$14.45	$15.85	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $38.02	Professional		$12.59	$13.18	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.39 / $38.90	Facility		$19.50	$22.39	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $24.55	Professional		$8.51	$10.72	$24.55
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $26.30	Facility		$14.13	$22.39	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $28.84	Professional		$13.80	$21.38	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $87.10	Facility		$13.80	$13.80	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.22 / $30.20	Professional		$9.77	$11.22	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $45.71 / $194.98	Facility		$17.78	$45.71	$194.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $30.90	Professional		$9.77	$13.18	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $26.30	Professional		$14.45	$17.38	$26.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $42.66	Professional		$13.80	$22.39	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.30 / $21.38	Facility		$7.59	$12.30	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $25.70	Professional		$8.91	$12.59	$25.70