Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $72.68 / $782.10	Facility		$18.17	$72.68	$782.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.44 / $17.34	Professional		$7.39	$8.44	$17.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.34 / $16.37	Professional		$5.28	$6.34	$16.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $11.62 / $18.69	Facility		$9.32	$11.62	$18.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.99 / $11.95	Professional		$5.22	$5.99	$11.95
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Facility		$6.65	$6.65	$6.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.44 / $12.35	Professional		$7.39	$8.44	$12.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $11.09 / $14.26	Facility		$7.92	$11.09	$14.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $10.69 / $17.39	Professional		$6.86	$10.69	$17.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $10.87 / $23.83	Facility		$6.86	$10.87	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.89 / $15.49	Professional		$5.45	$9.89	$15.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $64.65 / $167.33	Facility		$16.94	$64.65	$167.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $8.50 / $20.05	Professional		$4.61	$8.50	$20.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $8.71 / $12.67	Professional		$7.92	$8.71	$12.67
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.34 / $15.39	Professional		$4.44	$6.34	$15.39