Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $72.44	Facility		$16.98	$32.36	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $37.15	Professional		$12.88	$15.85	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.22 / $20.89	Professional		$9.77	$11.22	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $33.11	Facility		$16.60	$19.05	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $20.89	Professional		$7.94	$12.59	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $20.89	Facility		$13.18	$13.18	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $24.55	Professional		$11.75	$18.20	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $61.66	Facility		$11.75	$11.75	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $18.62	Professional		$9.55	$9.55	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.62 / $61.66	Facility		$11.75	$18.62	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $22.39	Professional		$7.24	$9.55	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $32.36 / $33.11	Professional		$10.00	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $41.69	Professional		$11.75	$19.05	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.96 / $16.22	Facility		$6.46	$10.96	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $21.88	Professional		$7.59	$10.72	$21.88