Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $15.85 / $63.10	Facility		$5.75	$15.85	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $10.96	Professional		$3.98	$5.01	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.03 / $10.47	Facility		$5.25	$6.03	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.47 / $7.41	Professional		$2.82	$3.47	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $6.61	Facility		$3.89	$3.89	$6.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $19.05	Facility		$3.72	$3.72	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.72 / $8.32	Professional		$2.95	$3.72	$8.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $7.24 / $58.88	Facility		$3.72	$7.24	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.57 / $7.94	Professional		$2.95	$4.57	$7.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.68 / $7.08	Professional		$3.89	$4.68	$7.08
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $426.58	Facility		$154.88	$208.93	$426.58
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.03 / $12.59	Professional		$3.72	$6.03	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.89 / $338.84	Facility		$2.00	$3.89	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.47 / $6.92	Professional		$2.40	$3.47	$6.92