Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $186.21 / $11,748.98	Facility		$9.77	$186.21	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $15.85 / $33.11	Professional		$6.03	$15.85	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $23.99	Professional		$21.88	$21.88	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.98 / $30.20	Professional		$9.12	$16.98	$30.20
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 $5.62 / $8.91 / $9.77	Facility		$5.62	$8.91	$9.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $29.51	Professional		$23.99	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $97.72 / $21,379.62	Facility		$31.62	$97.72	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $22.39 / $35.48	Professional		$6.61	$22.39	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $2,951.21	Facility		$316.23	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $15.49 / $32.36	Professional		$6.76	$15.49	$32.36