Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $16.98 / $28.84	Facility		$9.55	$16.98	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $14.13	Professional		$7.94	$9.55	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $22.39	Facility		$10.96	$12.59	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $13.80	Professional		$4.79	$6.03	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $13.80	Facility		$12.02	$12.02	$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 / $25.12	Facility		$7.76	$7.76	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $14.79	Professional		$5.50	$7.08	$14.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $19.50 / $19.50	Facility		$7.76	$19.50	$19.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.19 / $12.30	Professional		$2.14	$2.19	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $14.45	Professional		$9.12	$10.00	$14.45
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 / $28.18	Professional		$7.76	$12.59	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.76 / $12.02	Facility		$4.37	$7.76	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $12.02	Professional		$5.01	$7.24	$12.02