Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $123.03	Facility		$35.48	$70.79	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $89.13	Professional		$42.66	$44.67	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $41.69	Professional		$13.49	$17.78	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $35.48	Professional		$14.13	$17.78	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $44.67	Facility		$21.38	$37.15	$44.67
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 / $46.77	Facility		$22.91	$22.91	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $52.48	Professional		$16.98	$28.84	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $117.49	Facility		$22.91	$64.57	$117.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $53.70	Professional		$13.80	$17.78	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $43.65	Professional		$23.99	$28.84	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $70.79	Professional		$24.55	$37.15	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.91 / $35.48	Facility		$12.59	$22.91	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $44.67	Professional		$16.60	$24.55	$44.67