Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $58.88 / $144.54	Facility		$26.92	$58.88	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $58.88	Professional		$19.95	$25.12	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $19.50	Professional		$12.59	$19.50	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $29.51 / $51.29	Facility		$25.70	$29.51	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $35.48	Professional		$13.80	$16.98	$35.48
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.51 / $35.48	Facility		$19.05	$29.51	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $38.02	Professional		$18.20	$28.18	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $93.33	Facility		$18.20	$18.20	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $39.81	Professional		$14.45	$18.20	$39.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $42.66 / $93.33	Facility		$5.37	$42.66	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $17.78 / $51.29	Professional		$2.57	$17.78	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $34.67	Professional		$19.05	$23.44	$34.67
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $61.66	Professional		$19.50	$30.90	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $28.18	Facility		$10.00	$19.50	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $33.88	Professional		$11.75	$16.98	$33.88