Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.84 / $33.88	Facility		$19.05	$28.84	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $28.84	Professional		$15.14	$19.05	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $77.62	Facility		$36.31	$38.02	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $46.77	Professional		$17.38	$21.88	$46.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $35.48 / $57.54	Facility		$23.99	$35.48	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $64.57	Professional		$30.90	$42.66	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.91	Professional		$16.98	$16.98	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $64.57	Facility		$22.91	$22.91	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.91	Professional		$16.98	$16.98	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $30.90	Professional		$15.49	$21.88	$30.90
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $75.86	Professional		$36.31	$40.74	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $41.69	Facility		$14.79	$19.95	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $26.92	Professional		$11.75	$17.78	$26.92