Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $20.89 / $2,089.30	Facility		$7.94	$20.89	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.32 / $933.25	Professional		$7.08	$8.32	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $14.13	Professional		$7.24	$8.32	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.13 / $48.98	Facility		$8.13	$14.13	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.51 / $14.45	Professional		$7.59	$8.51	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.59	Facility		$7.08	$7.08	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $45.71	Professional		$7.59	$7.59	$45.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.22 / $24.55	Facility		$7.08	$11.22	$24.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $45.71	Professional		$7.59	$7.59	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $11.22	Professional		$7.59	$9.33	$11.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.75 / $16.22	Professional		$6.92	$11.75	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.94	Facility		$7.59	$7.59	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $10.00	Professional		$7.59	$7.59	$10.00