Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $158.49	Facility		$26.92	$61.66	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $64.57	Professional		$19.05	$22.39	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $45.71	Professional		$10.96	$15.49	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $47.86	Facility		$23.44	$27.54	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $33.11	Professional		$12.88	$15.49	$33.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $25.70	Facility		$17.38	$17.38	$25.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $20.42	Professional		$18.20	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $32.36	Facility		$25.70	$26.92	$32.36
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 / $16.98 / $54.95	Facility		$16.60	$16.98	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $48.98	Professional		$13.18	$16.60	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $54.95 / $154.88	Facility		$14.45	$54.95	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $16.22 / $46.77	Professional		$7.24	$16.22	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $31.62	Professional		$17.38	$21.38	$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 $18.20 / $28.84 / $51.29	Professional		$18.20	$28.84	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $17.78 / $28.18	Facility		$9.33	$17.78	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $30.90	Professional		$10.96	$15.49	$30.90