Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $54.95 / $147.91	Facility		$24.55	$54.95	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $70.79	Professional		$21.88	$46.77	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $74.13	Professional		$22.91	$42.66	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.88 / $28.18	Facility		$14.45	$21.88	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $26.92	Professional		$23.99	$23.99	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $37.15 / $42.66	Facility		$20.42	$37.15	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $51.29 / $95.50	Professional		$25.12	$51.29	$95.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $50.12 / $93.33	Professional		$23.99	$50.12	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $51.29 / $83.18	Professional		$20.89	$51.29	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $107.15	Facility		$74.13	$89.13	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $77.62	Professional		$20.89	$42.66	$77.62