Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.84 / $12,882.50	Facility		$12.88	$28.84	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $2,344.23	Professional		$12.02	$12.88	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Professional		$12.88	$12.88	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $66.07	Facility		$13.80	$23.99	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $22.91	Professional		$12.88	$14.45	$22.91
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $20.42	Facility		$13.49	$13.49	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $31.62	Professional		$13.49	$13.49	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $20.89	Facility		$12.02	$12.02	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.62	Professional		$12.88	$12.88	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.50 / $85.11	Facility		$12.02	$19.50	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $25.12	Professional		$12.88	$12.88	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.79 / $19.05	Professional		$12.88	$14.79	$19.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $30.20	Professional		$12.88	$15.85	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Facility		$12.88	$12.88	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.18 / $15.14	Professional		$12.30	$13.18	$15.14