Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $36.31 / $128.82	Facility		$14.45	$36.31	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $54.95	Professional		$10.96	$13.18	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $26.30	Professional		$7.24	$8.71	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.49 / $26.92	Facility		$13.49	$15.49	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $18.62	Professional		$7.24	$8.91	$18.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.49 / $18.20	Facility		$8.71	$15.49	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $19.50	Professional		$9.55	$14.45	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $48.98	Facility		$9.55	$9.55	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.55 / $21.38	Professional		$7.41	$9.55	$21.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $33.11 / $107.15	Facility		$10.23	$33.11	$107.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $23.44	Professional		$7.08	$10.23	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $18.20	Professional		$9.77	$12.02	$18.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $31.62	Professional		$9.55	$15.49	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.55 / $14.45	Facility		$5.13	$9.55	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $17.38	Professional		$6.17	$8.71	$17.38