Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $70.79 / $141.25	Facility		$31.62	$70.79	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $70.79	Professional		$25.12	$28.18	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $35.48	Professional		$17.38	$24.55	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $43.65	Professional		$17.38	$21.38	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $47.86	Facility		$28.18	$38.90	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $47.86	Professional		$22.91	$35.48	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $131.83	Facility		$22.91	$22.91	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $67.61	Professional		$14.79	$25.12	$67.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $74.13 / $154.88	Facility		$36.31	$74.13	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.30 / $63.10	Professional		$14.79	$26.30	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $43.65	Professional		$19.50	$30.20	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $77.62	Professional		$26.30	$38.90	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $23.99 / $35.48	Facility		$12.59	$23.99	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $41.69	Professional		$14.79	$20.89	$41.69