Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $40.74 / $79.43	Facility		$20.89	$40.74	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $54.95	Professional		$20.89	$25.12	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $30.20	Professional		$15.14	$23.44	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $120.23	Facility		$25.12	$43.65	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $38.02	Professional		$20.89	$23.99	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Professional		$22.91	$22.91	$30.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $33.88 / $47.86	Facility		$9.33	$33.88	$47.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $35.48	Professional		$22.91	$23.99	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $48.98	Professional		$25.70	$34.67	$48.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.70 / $53.70	Professional		$14.79	$25.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Facility		$21.38	$21.38	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $25.70	Professional		$20.42	$25.12	$25.70