Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $23.44 / $107.15	Facility		$3.09	$23.44	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $40.74	Professional		$3.02	$5.01	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $23.99	Professional		$12.59	$15.14	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.38 / $26.92	Professional		$11.75	$17.38	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Facility		$15.14	$15.14	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $33.11	Professional		$12.02	$19.50	$33.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $199.53	Facility		$34.67	$109.65	$199.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $33.11	Professional		$12.02	$19.05	$33.11
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 $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $38.02	Professional		$17.38	$22.39	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $173.78	Facility		$144.54	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $24.55	Professional		$8.51	$14.13	$24.55