Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.44 / $33.11	Facility		$20.89	$23.44	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $32.36	Professional		$14.79	$22.91	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $19.95	Professional		$5.01	$12.59	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $63.10	Facility		$40.74	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.39 / $48.98	Professional		$19.50	$22.39	$48.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $51.29	Facility		$19.95	$39.81	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $53.70	Professional		$25.70	$48.98	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $42.66 / $69.18	Facility		$10.23	$42.66	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $47.86	Professional		$21.38	$21.38	$47.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $42.66 / $69.18	Facility		$10.23	$42.66	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $37.15	Professional		$21.38	$21.38	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $50.12	Professional		$22.39	$34.67	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $93.33	Professional		$34.67	$44.67	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $12.88 / $25.12	Facility		$1.45	$12.88	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $28.18	Professional		$11.22	$18.62	$28.18