Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $22.39 / $64.57	Facility		$6.03	$22.39	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $37.15	Professional		$7.94	$13.49	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $23.99	Professional		$7.59	$9.55	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $18.20	Professional		$6.31	$8.13	$18.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $21.38	Facility		$15.14	$18.20	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $24.55	Professional		$18.20	$20.42	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $8.71	Professional		$6.17	$6.17	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.01 / $13.49	Professional		$4.17	$5.01	$13.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $31.62	Professional		$15.49	$18.20	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $7.08 / $9.33	Professional		$4.27	$7.08	$9.33