Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.85 / $19.05	Facility		$10.96	$15.85	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $19.05	Professional		$7.94	$12.02	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $18.20	Professional		$15.14	$15.49	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $24.55	Professional		$9.33	$11.22	$24.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.60 / $26.30	Facility		$10.96	$16.60	$26.30
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 $12.02 / $13.18 / $13.18	Facility		$12.02	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $12.02	Professional		$11.22	$11.22	$12.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $30.20	Facility		$12.02	$13.18	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $12.02	Professional		$11.22	$11.22	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $22.39	Professional		$10.96	$15.49	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $39.81	Professional		$19.05	$21.38	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.12 / $14.13	Facility		$7.76	$9.12	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.33 / $13.49	Professional		$6.31	$9.33	$13.49