Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $5,888.44 / $31,622.78	Facility		$19.05	$5,888.44	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $10,471.29	Professional		$16.98	$16.98	$10,471.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $60.26	Facility		$18.20	$27.54	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $29.51	Professional		$16.98	$19.05	$29.51
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $25.70	Facility		$16.98	$16.98	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $39.81	Professional		$16.98	$16.98	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $25.12	Facility		$16.22	$16.22	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.88	Professional		$16.98	$16.98	$21.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $64.57	Facility		$16.22	$23.44	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $23.99	Professional		$16.98	$16.98	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $24.55	Professional		$16.98	$18.62	$24.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $32.36	Professional		$16.98	$20.89	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $19.05	Professional		$16.22	$16.98	$19.05