Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $63.10	Facility		$20.42	$32.36	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $46.77	Professional		$15.85	$19.95	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $37.15	Professional		$10.72	$12.59	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $44.67	Facility		$21.88	$25.12	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $27.54	Professional		$9.55	$12.02	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $30.20	Facility		$17.78	$25.12	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $32.36	Professional		$15.49	$23.99	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $50.12	Facility		$15.49	$15.49	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $33.11	Professional		$10.96	$12.59	$33.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $24.55 / $51.29	Facility		$11.48	$24.55	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $29.51	Professional		$10.96	$12.59	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $29.51	Professional		$16.22	$19.95	$29.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $47.86	Professional		$16.98	$25.12	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.18 / $23.99	Facility		$8.71	$13.18	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.02 / $24.55	Professional		$6.61	$12.02	$24.55