Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $18.62 / $58.88	Facility		$8.13	$18.62	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $21.38	Professional		$6.03	$7.94	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.33 / $16.60	Facility		$8.13	$9.33	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $11.48	Professional		$4.37	$5.37	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $10.23	Facility		$7.24	$7.24	$10.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.89 / $37.15	Facility		$5.75	$5.89	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.75 / $12.88	Professional		$4.47	$5.75	$12.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.33 / $37.15	Facility		$5.75	$9.33	$37.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.24 / $15.14	Professional		$4.47	$7.24	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.96	Professional		$6.03	$7.94	$10.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.33 / $20.89	Professional		$5.75	$9.33	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.17 / $8.91	Facility		$3.24	$6.17	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $10.72	Professional		$3.72	$5.37	$10.72