Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $37.15 / $51.29	Facility		$8.13	$37.15	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $38.02	Professional		$19.05	$21.88	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $22.91	Professional		$18.62	$21.88	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $144.54	Facility		$23.99	$40.74	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $36.31	Professional		$19.95	$22.91	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $44.67	Facility		$21.88	$29.51	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.18	Professional		$21.88	$21.88	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $40.74	Facility		$21.88	$36.31	$40.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.18	Professional		$21.88	$21.88	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $46.77	Professional		$30.90	$39.81	$46.77
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $51.29	Professional		$22.91	$24.55	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $24.55	Professional		$19.05	$23.99	$24.55