Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $177.83	Facility		$20.89	$41.69	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $43.65	Professional		$15.14	$19.05	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $32.36	Professional		$10.96	$14.45	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $38.02	Facility		$19.05	$21.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $26.30	Professional		$10.23	$12.59	$26.30
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $26.30	Facility		$14.13	$21.88	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $28.18	Professional		$13.49	$20.89	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $46.77	Facility		$13.49	$13.49	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $30.20	Professional		$10.47	$13.49	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $39.81 / $158.49	Facility		$13.80	$39.81	$158.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.22 / $35.48	Professional		$8.32	$16.22	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $25.70	Professional		$14.13	$16.98	$25.70
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $45.71	Professional		$14.45	$22.91	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.45 / $20.89	Facility		$7.41	$14.45	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $25.12	Professional		$8.71	$12.59	$25.12