Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.30 / $33.11	Facility		$10.96	$12.30	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Professional		$10.96	$10.96	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $11.48	Professional		$10.96	$10.96	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.42 / $72.44	Facility		$12.02	$20.42	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $19.05	Professional		$10.00	$11.22	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $11.75	Professional		$10.96	$10.96	$11.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $11.75	Professional		$9.33	$10.96	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $50.12 / $50.12	Professional		$15.85	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $25.70	Professional		$11.48	$12.02	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $10.47	Facility		$9.77	$9.77	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $12.30	Professional		$9.55	$11.75	$12.30