Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $125.89	Facility		$12.30	$30.20	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $35.48	Professional		$8.91	$11.75	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $23.99	Facility		$12.02	$13.80	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $16.60	Professional		$6.46	$7.94	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $15.14	Facility		$10.47	$10.47	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $52.48	Facility		$8.51	$8.51	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.51 / $23.99	Professional		$6.61	$8.51	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.45 / $107.15	Facility		$8.51	$14.45	$107.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $21.38	Professional		$6.76	$8.71	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.72 / $16.22	Professional		$7.24	$10.72	$16.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $30.20	Professional		$8.51	$13.80	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $12.88	Facility		$4.68	$8.91	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.76 / $15.49	Professional		$5.50	$7.76	$15.49