Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $158.49	Facility		$19.95	$44.67	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $50.12	Professional		$13.80	$16.98	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $28.18	Professional		$8.32	$12.88	$28.18
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 / $12.59 / $23.99	Professional		$9.12	$12.59	$23.99
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.79 / $14.79	Professional		$12.88	$14.79	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.50 / $22.91	Facility		$18.20	$19.50	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $24.55	Professional		$12.02	$18.20	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $40.74	Facility		$12.02	$12.02	$40.74
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 $14.45 / $51.29 / $128.82	Facility		$14.45	$51.29	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.79 / $33.88	Professional		$7.08	$14.79	$33.88
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 / $24.55	Facility		$21.88	$21.88	$24.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.38 / $39.81	Professional		$12.88	$21.38	$39.81
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 / $21.88	Professional		$7.76	$10.96	$21.88