Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $48.98 / $213.80	Facility		$19.50	$48.98	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $70.79	Professional		$14.79	$17.38	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.75 / $34.67	Professional		$8.71	$11.75	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.42 / $35.48	Facility		$17.78	$20.42	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $24.55	Professional		$9.55	$11.75	$24.55
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $23.99	Facility		$19.50	$20.42	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $26.30	Professional		$12.59	$19.50	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $43.65	Facility		$12.59	$12.59	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $28.18	Professional		$10.00	$12.59	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $67.61 / $194.98	Facility		$18.62	$67.61	$194.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $36.31	Professional		$7.76	$15.49	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $23.99	Professional		$13.18	$15.85	$23.99
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.38 / $42.66	Professional		$13.49	$21.38	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $13.18 / $19.50	Facility		$6.92	$13.18	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $23.44	Professional		$8.13	$11.75	$23.44