Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $43.66 / $86.89	Facility		$12.96	$43.66	$86.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $11.89 / $30.49	Professional		$10.82	$11.89	$30.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $9.53 / $9.53	Professional		$9.53	$9.53	$9.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $15.10 / $24.30	Facility		$12.12	$15.10	$24.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $14.82	Professional		$6.78	$6.78	$14.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $14.42 / $18.54	Facility		$10.30	$14.42	$18.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $13.73 / $22.61	Professional		$8.92	$13.73	$22.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $14.13 / $88.37	Facility		$8.92	$14.13	$88.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $11.02 / $19.98	Professional		$6.93	$11.02	$19.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $17.59 / $203.94	Facility		$8.92	$17.59	$203.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $11.03 / $23.00	Professional		$6.93	$11.03	$23.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.33 / $16.48	Professional		$10.30	$11.33	$16.48
United Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $4.94 / $12.36	Facility		$4.94	$4.94	$12.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.26 / $20.85	Professional		$5.77	$8.26	$20.85