Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $51.29 / $190.55	Facility		$23.99	$51.29	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $60.26	Professional		$19.05	$22.39	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $45.71	Professional		$12.88	$15.14	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.92 / $46.77	Facility		$23.44	$26.92	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $32.36	Professional		$12.59	$15.49	$32.36
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $31.62	Facility		$17.38	$26.92	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.70 / $34.67	Professional		$16.60	$25.70	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $95.50	Facility		$16.60	$16.60	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $47.86	Professional		$12.88	$16.60	$47.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $57.54 / $169.82	Facility		$16.98	$57.54	$169.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $42.66	Professional		$9.55	$19.05	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $31.62	Professional		$17.38	$20.89	$31.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $56.23	Professional		$17.78	$28.18	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $17.38 / $25.70	Facility		$9.12	$17.38	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $30.90	Professional		$10.72	$15.14	$30.90