Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $28.84	Facility		$9.77	$19.50	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $16.98	Professional		$6.03	$7.94	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $15.14 / $17.78	Professional		$5.89	$15.14	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $17.78	Facility		$8.91	$10.23	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $9.12 / $14.45	Professional		$3.89	$9.12	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $11.22	Facility		$6.92	$6.92	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $33.11	Facility		$6.31	$6.31	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $10.00	Professional		$5.13	$5.13	$10.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.59 / $41.69	Facility		$6.31	$12.59	$41.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $10.00	Professional		$5.13	$5.13	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $12.02	Professional		$6.61	$8.13	$12.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $22.39	Professional		$6.31	$10.23	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.37 / $9.77	Facility		$3.55	$5.37	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $10.47	Professional		$5.13	$6.31	$10.47