Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $41.70 / $161.10	Facility		$17.32	$41.70	$161.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $11.81 / $19.54	Professional		$10.83	$11.81	$19.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.41 / $9.41	Professional		$6.77	$9.41	$9.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $14.89 / $23.96	Facility		$11.96	$14.89	$23.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $14.62	Professional		$6.69	$6.69	$14.62
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Facility		$8.52	$8.52	$8.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $14.22 / $18.28	Facility		$10.16	$14.22	$18.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $13.62 / $22.30	Professional		$8.80	$13.62	$22.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $13.94 / $30.56	Facility		$8.80	$13.94	$30.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.87 / $19.72	Professional		$6.93	$10.87	$19.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $22.72 / $90.99	Facility		$9.06	$22.72	$90.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.66 / $25.85	Professional		$6.93	$8.66	$25.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.17 / $16.25	Professional		$10.16	$11.17	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.11 / $17.73	Professional		$5.63	$8.11	$17.73