Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $40.74 / $141.25	Facility		$14.13	$40.74	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $33.88	Professional		$10.00	$12.30	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $25.12	Professional		$6.76	$9.12	$25.12
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 / $17.38	Professional		$6.76	$8.32	$17.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.45 / $17.38	Facility		$10.96	$14.45	$17.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.80 / $18.62	Professional		$8.91	$13.80	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $51.29	Facility		$8.91	$8.91	$51.29
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 $12.02 / $33.11 / $123.03	Facility		$12.02	$33.11	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.96 / $22.91	Professional		$5.50	$10.96	$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 $9.55 / $15.14 / $27.54	Professional		$9.55	$15.14	$27.54
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