Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $29.51 / $79.43	Facility		$11.48	$29.51	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $30.90	Professional		$8.91	$10.96	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$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 $9.12 / $24.55 / $44.67	Professional		$9.12	$24.55	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.13 / $16.98	Facility		$9.77	$14.13	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $16.60	Professional		$12.30	$14.79	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $46.77	Facility		$7.94	$7.94	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.30 / $23.99	Professional		$6.31	$12.30	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.78 / $53.70	Facility		$10.96	$17.78	$53.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.96 / $29.51	Professional		$6.17	$10.96	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.96 / $15.14	Professional		$6.46	$10.96	$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 $10.47 / $15.14 / $28.18	Professional		$10.47	$15.14	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $9.12 / $10.96	Facility		$4.37	$9.12	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.41 / $16.98	Professional		$5.13	$7.41	$16.98