Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $20.89 / $34.67	Facility		$9.77	$20.89	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $21.88	Professional		$7.94	$10.00	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $6.17	Professional		$5.25	$5.25	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.88 / $22.39	Facility		$11.22	$12.88	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $15.49	Professional		$5.89	$7.41	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $14.13	Facility		$9.33	$9.33	$14.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $26.92	Facility		$7.94	$7.94	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $17.38	Professional		$6.17	$7.76	$17.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.59 / $26.92	Facility		$7.94	$12.59	$26.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $16.60	Professional		$6.17	$7.76	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $15.14	Professional		$8.32	$10.00	$15.14
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 $7.94 / $12.88 / $28.18	Professional		$7.94	$12.88	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.32 / $12.30	Facility		$4.37	$8.32	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.41 / $16.60	Professional		$5.13	$7.41	$16.60