Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $66.07	Facility		$23.44	$38.02	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.31 / $72.44	Professional		$19.50	$36.31	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $34.67	Professional		$18.20	$20.42	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $46.77	Professional		$20.42	$27.54	$46.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $28.84	Facility		$19.95	$22.39	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $46.77	Professional		$19.50	$23.44	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $53.70	Professional		$20.42	$30.20	$53.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $54.95	Professional		$19.05	$28.84	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $33.11	Professional		$20.89	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $39.81	Professional		$21.38	$26.30	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $41.69	Professional		$18.62	$26.92	$41.69