Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $25.45 / $50.11	Facility		$12.78	$25.45	$50.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $12.10 / $19.54	Professional		$10.83	$12.10	$19.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $9.41 / $9.41	Professional		$9.41	$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 / $13.54	Professional		$6.69	$6.69	$13.54
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 $7.44 / $13.54 / $18.28	Facility		$7.44	$13.54	$18.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $17.60 / $18.28	Professional		$11.51	$17.60	$18.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $13.94 / $51.35	Facility		$8.80	$13.94	$51.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.80 / $19.72	Professional		$6.93	$8.80	$19.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.80 / $13.94 / $51.35	Facility		$8.80	$13.94	$51.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.19 / $25.21	Professional		$7.08	$8.19	$25.21
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 $5.48 / $8.11 / $18.44	Professional		$5.48	$8.11	$18.44