Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $72.44 / $72.44	Facility		$23.99	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $23.99	Professional		$12.02	$14.13	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $44.67	Professional		$18.62	$25.12	$44.67
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $38.90	Facility		$15.85	$15.85	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $42.66 / $69.18	Professional		$12.02	$42.66	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $38.02 / $60.26	Professional		$10.23	$38.02	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $75.86	Professional		$25.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $87.10	Professional		$34.67	$46.77	$87.10