Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.20 / $104.71	Facility		$11.48	$30.20	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $28.84	Professional		$8.91	$10.47	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $21.88	Professional		$6.03	$8.32	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $21.88	Facility		$10.96	$12.59	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $15.14	Professional		$5.89	$7.24	$15.14
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.59 / $15.14	Facility		$9.12	$12.59	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $16.22	Professional		$7.76	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $38.90	Facility		$7.76	$7.76	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $16.98	Professional		$6.17	$7.76	$16.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $29.51 / $85.11	Facility		$12.30	$29.51	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $19.95	Professional		$6.17	$9.55	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $14.79	Professional		$8.13	$9.77	$14.79
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.59 / $23.99	Professional		$7.76	$12.59	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $8.32 / $12.02	Facility		$4.27	$8.32	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $14.45	Professional		$5.01	$7.24	$14.45