Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $51.29	Professional		$32.36	$38.90	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $97.72	Facility		$66.07	$70.79	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $87.10	Professional		$47.86	$51.29	$87.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $70.79	Professional		$66.07	$67.61	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $33.88 / $51.29	Facility		$3.47	$33.88	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $41.69 / $61.66	Professional		$4.47	$41.69	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Facility		$42.66	$42.66	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $67.61	Professional		$36.31	$36.31	$67.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Facility		$42.66	$42.66	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $56.23	Professional		$36.31	$42.66	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $436.52	Professional		$123.03	$239.88	$436.52
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $114.82	Professional		$57.54	$67.61	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $26.92 / $47.86	Facility		$3.55	$26.92	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $51.29	Professional		$21.38	$32.36	$51.29