Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $36.31 / $69.18	Facility		$17.78	$36.31	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $38.02	Professional		$14.13	$16.60	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.95 / $34.67	Facility		$17.38	$19.95	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $23.99	Professional		$9.33	$11.22	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $21.38	Facility		$12.88	$12.88	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $63.10	Facility		$12.30	$12.30	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $35.48	Professional		$9.55	$12.30	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $63.10	Facility		$12.30	$20.42	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $27.54	Professional		$9.77	$13.49	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $23.44	Professional		$12.59	$15.49	$23.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $43.65	Professional		$12.30	$19.50	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.88 / $18.62	Facility		$6.76	$12.88	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $22.39	Professional		$7.94	$11.22	$22.39