Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $28.84 / $95.50	Facility		$13.80	$28.84	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $32.36	Professional		$10.00	$12.30	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $25.12	Facility		$12.59	$14.45	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $17.78	Professional		$6.76	$8.32	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $15.85	Facility		$9.33	$9.33	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $28.84	Facility		$8.91	$8.91	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.91 / $25.70	Professional		$6.92	$8.91	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.49 / $56.23	Facility		$8.91	$15.49	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $22.91	Professional		$7.08	$10.00	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $16.98	Professional		$9.33	$11.22	$16.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $31.62	Professional		$8.91	$14.45	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.33 / $13.80	Facility		$4.90	$9.33	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $16.60	Professional		$5.75	$8.32	$16.60