Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $28.18 / $42.66	Facility		$14.79	$28.18	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $33.11	Professional		$12.88	$16.98	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $33.88	Facility		$16.98	$19.50	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $23.44	Professional		$9.12	$11.22	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $21.38	Facility		$12.59	$12.59	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $69.18	Facility		$12.02	$12.02	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $26.30	Professional		$9.33	$11.75	$26.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $69.18	Facility		$12.02	$19.05	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $30.90	Professional		$9.33	$11.75	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.14 / $22.91	Professional		$12.30	$15.14	$22.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $42.66	Professional		$12.02	$19.50	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.59 / $18.20	Facility		$6.61	$12.59	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $25.70	Professional		$7.76	$10.96	$25.70