Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $61.66	Professional		$18.20	$24.55	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $22.91	Professional		$11.48	$11.48	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $42.66	Professional		$13.18	$17.38	$42.66
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $45.71	Professional		$22.91	$26.30	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $91.20	Facility		$18.20	$26.30	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $54.95	Professional		$22.91	$27.54	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.39 / $45.71	Professional		$11.48	$22.39	$45.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.84 / $51.29	Professional		$11.48	$28.84	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $52.48	Professional		$23.99	$29.51	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $40.74	Professional		$14.45	$25.12	$40.74