Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $72.44	Facility		$12.02	$30.20	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $32.36	Professional		$8.91	$10.72	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $21.88	Facility		$10.96	$12.59	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $15.49	Professional		$5.89	$7.24	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $13.80	Facility		$9.55	$9.55	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $44.67	Facility		$7.76	$7.76	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $16.98	Professional		$6.17	$7.76	$16.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.78 / $46.77	Facility		$7.76	$17.78	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.13 / $19.95	Professional		$6.17	$8.13	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $14.79	Professional		$8.13	$10.00	$14.79
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.59 / $23.99	Professional		$7.76	$12.59	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.32 / $12.02	Facility		$4.37	$8.32	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $14.45	Professional		$5.01	$7.24	$14.45