Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $223.87 / $549.54	Facility		$25.12	$223.87	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $281.84	Professional		$14.13	$15.14	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $95.50	Facility		$15.85	$31.62	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $28.18	Professional		$14.79	$18.20	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $14.79	Facility		$13.80	$13.80	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.89	Professional		$14.79	$14.79	$20.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $48.98	Facility		$13.80	$18.20	$48.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.89	Professional		$14.79	$14.79	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $27.54	Professional		$14.79	$18.62	$27.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $33.88	Professional		$16.22	$24.55	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $16.22	Professional		$14.79	$14.79	$16.22