Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $51.29 / $616.60	Facility		$13.49	$51.29	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $331.13	Professional		$11.22	$13.49	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $26.92	Professional		$7.59	$10.47	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.85 / $27.54	Facility		$13.80	$15.85	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $19.05	Professional		$7.41	$9.12	$19.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.85 / $18.62	Facility		$12.02	$15.85	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $20.42	Professional		$9.77	$15.14	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $31.62	Facility		$9.77	$9.77	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $28.18	Professional		$7.59	$9.77	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $18.62 / $63.10	Facility		$3.89	$18.62	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.22 / $21.38	Professional		$6.03	$11.22	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $18.62	Professional		$10.00	$12.30	$18.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $29.51	Professional		$10.47	$16.22	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.23 / $15.14	Facility		$5.37	$10.23	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $17.78	Professional		$6.31	$8.91	$17.78