Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.90 / $50.12	Facility		$16.22	$30.90	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $33.11	Professional		$14.13	$16.98	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.38 / $37.15	Facility		$18.20	$21.38	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $21.38	Professional		$10.00	$11.22	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $75.86	Facility		$12.88	$12.88	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.95 / $46.77	Professional		$10.23	$19.95	$46.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $75.86	Facility		$17.78	$22.39	$75.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.95 / $39.81	Professional		$10.23	$19.95	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $24.55	Professional		$15.14	$18.20	$24.55
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $46.77	Professional		$16.98	$24.55	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $18.20 / $19.95	Facility		$7.24	$18.20	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $27.54	Professional		$8.51	$12.02	$27.54