Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $32.36 / $89.13	Facility		$15.14	$32.36	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $30.90	Professional		$11.75	$14.13	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.96 / $10.96	Professional		$9.55	$10.96	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.60 / $28.84	Facility		$14.45	$16.60	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $19.95	Professional		$7.76	$9.55	$19.95
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.60 / $19.50	Facility		$10.72	$16.60	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $21.38	Professional		$10.23	$15.85	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $52.48	Facility		$10.23	$10.23	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $22.91	Professional		$8.13	$10.23	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $28.18 / $70.79	Facility		$10.23	$28.18	$70.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $29.51	Professional		$8.13	$14.79	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $19.50	Professional		$10.72	$12.88	$19.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.60 / $31.62	Professional		$10.23	$16.60	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.72 / $15.85	Facility		$5.62	$10.72	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $19.05	Professional		$6.61	$9.55	$19.05