Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $37.15 / $123.03	Facility		$12.59	$37.15	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $38.02	Professional		$9.77	$11.75	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $10.47	Professional		$6.46	$9.12	$10.47
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
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.80 / $16.22	Facility		$10.47	$13.80	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $17.78	Professional		$8.51	$13.18	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $43.65	Facility		$8.51	$8.51	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.51 / $24.55	Professional		$6.61	$8.51	$24.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $26.30 / $83.18	Facility		$12.88	$26.30	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.47 / $21.88	Professional		$5.25	$10.47	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $16.22	Professional		$8.71	$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 $9.12 / $14.45 / $28.84	Professional		$9.12	$14.45	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $13.18	Facility		$4.68	$8.91	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.76 / $15.49	Professional		$5.50	$7.76	$15.49