Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.62 / $22.91	Facility		$14.13	$18.62	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $19.05	Professional		$7.94	$12.88	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.49	Professional		$9.77	$9.77	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $28.84	Professional		$10.00	$12.02	$28.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $26.92	Facility		$11.22	$16.60	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $30.20	Professional		$14.45	$19.95	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $13.49	Facility		$9.55	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $30.20	Facility		$9.55	$13.49	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $13.49	Professional		$10.00	$11.48	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $16.22	Professional		$8.13	$11.22	$16.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $46.77	Professional		$22.91	$25.70	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.33 / $14.13	Facility		$7.76	$9.33	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.47 / $14.45	Professional		$6.61	$10.47	$14.45