Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $52.48	Facility		$13.49	$26.92	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $34.67	Professional		$10.96	$13.18	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $26.92	Professional		$10.23	$10.23	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.49 / $26.92	Facility		$13.49	$15.49	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $18.62	Professional		$7.24	$8.91	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $16.98	Facility		$10.00	$10.00	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $54.95	Facility		$9.55	$9.55	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $21.38	Professional		$7.59	$9.55	$21.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.14 / $54.95	Facility		$9.55	$15.14	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $9.55 / $24.55	Professional		$4.37	$9.55	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $18.20	Professional		$10.00	$12.30	$18.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $34.67	Professional		$9.55	$15.49	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.23 / $14.79	Facility		$5.37	$10.23	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $17.78	Professional		$6.17	$8.91	$17.78