Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $54.95	Facility		$15.14	$26.30	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $40.74	Professional		$14.13	$18.20	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $18.62	Professional		$8.71	$12.02	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $36.31	Professional		$14.13	$18.20	$36.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.88 / $51.29	Facility		$17.78	$21.88	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $52.48	Professional		$21.88	$26.30	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.02 / $70.79	Facility		$11.75	$12.02	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.50 / $37.15	Professional		$8.91	$19.50	$37.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.95 / $70.79	Facility		$15.14	$19.95	$70.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.42 / $41.69	Professional		$8.91	$20.42	$41.69
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 Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $51.29	Professional		$15.85	$26.30	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $57.54 / $69.18	Facility		$19.05	$57.54	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.95 / $40.74	Professional		$11.48	$19.95	$40.74