Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $30.90 / $109.65	Facility		$11.75	$30.90	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $33.11	Professional		$8.91	$11.48	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.51 / $8.51	Professional		$7.41	$8.51	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.18 / $22.91	Facility		$11.48	$13.18	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $16.22	Professional		$6.17	$7.59	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.88 / $15.49	Facility		$8.91	$12.88	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $16.60	Professional		$8.13	$12.30	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $48.98	Facility		$8.13	$8.13	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $17.38	Professional		$6.31	$7.94	$17.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.22 / $123.03	Facility		$8.13	$16.22	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $19.05	Professional		$6.61	$9.55	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $15.49	Professional		$8.32	$10.23	$15.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.88 / $28.84	Professional		$8.13	$12.88	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.51 / $12.30	Facility		$4.47	$8.51	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $14.79	Professional		$5.25	$7.41	$14.79