Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $81.28	Professional		$14.13	$18.20	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $35.48	Professional		$11.75	$16.98	$35.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.54 / $34.67	Facility		$21.88	$27.54	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $38.90	Professional		$23.99	$23.99	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $44.67	Professional		$19.95	$31.62	$44.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $41.69	Professional		$17.38	$29.51	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $60.26	Professional		$32.36	$39.81	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $34.67	Professional		$19.95	$26.92	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $30.20	Professional		$16.60	$22.91	$30.20