Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $57.54	Professional		$28.84	$42.66	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $79.43	Professional		$46.77	$46.77	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $97.72	Facility		$64.57	$69.18	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $112.20	Professional		$50.12	$63.10	$112.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $89.13	Professional		$79.43	$85.11	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $34.67 / $67.61	Facility		$4.47	$34.67	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $42.66 / $61.66	Professional		$5.75	$42.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $57.54	Facility		$41.69	$41.69	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $69.18	Professional		$35.48	$35.48	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $69.18	Facility		$41.69	$41.69	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $54.95	Professional		$34.67	$41.69	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $120.23	Professional		$60.26	$74.13	$120.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $134.90	Professional		$69.18	$89.13	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $32.36 / $52.48	Facility		$4.37	$32.36	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $63.10	Professional		$22.91	$39.81	$63.10