Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $45.71	Facility		$25.70	$25.70	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $45.71	Professional		$22.91	$28.84	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $120.23	Facility		$56.23	$58.88	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $72.44	Professional		$27.54	$34.67	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $66.07	Facility		$27.54	$41.69	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $74.13	Professional		$36.31	$50.12	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $47.86	Professional		$23.99	$33.88	$47.86
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $117.49	Professional		$56.23	$63.10	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $64.57	Facility		$25.12	$41.69	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $42.66	Professional		$18.20	$27.54	$42.66