Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $34.67 / $181.97	Facility		$16.60	$34.67	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $42.66	Professional		$12.88	$15.85	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $33.11	Facility		$16.60	$19.05	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $22.91	Professional		$8.91	$10.72	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $20.42	Facility		$12.30	$12.30	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $38.02	Facility		$11.75	$11.75	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $33.11	Professional		$9.12	$11.75	$33.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.62 / $40.74	Facility		$11.75	$18.62	$40.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $11.22 / $25.12	Professional		$3.63	$11.22	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $22.39	Professional		$12.02	$14.79	$22.39
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.62 / $41.69	Professional		$11.75	$18.62	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.30 / $17.78	Facility		$6.46	$12.30	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $8.91 / $21.38	Professional		$2.75	$8.91	$21.38