Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $89.13	Facility		$17.78	$38.90	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $42.66	Professional		$15.85	$18.20	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $38.02	Facility		$19.05	$21.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $26.92	Professional		$10.23	$12.59	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $25.70	Facility		$14.13	$21.88	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $28.18	Professional		$13.49	$20.89	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $77.62	Facility		$13.49	$13.49	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $30.20	Professional		$10.47	$13.49	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.44 / $141.25	Facility		$13.49	$23.44	$141.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $28.84	Professional		$10.72	$15.85	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $25.70	Professional		$13.80	$16.98	$25.70
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $47.86	Professional		$13.49	$21.88	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.13 / $20.89	Facility		$7.41	$14.13	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $24.55	Professional		$8.71	$12.30	$24.55