Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $56.23	Facility		$16.98	$22.91	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $85.11	Professional		$16.98	$22.39	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $18.20	Professional		$16.60	$17.38	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $50.12	Professional		$15.85	$23.44	$50.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $19.95	Facility		$11.22	$16.98	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $53.70	Professional		$17.38	$25.70	$53.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $45.71	Professional		$16.98	$25.70	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $40.74	Professional		$18.62	$21.38	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $37.15	Professional		$14.79	$20.89	$37.15