Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $37.64 / $201.60	Facility		$19.94	$37.64	$201.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.48 / $25.75	Professional		$11.93	$13.48	$25.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $6.99 / $6.99	Professional		$6.99	$6.99	$6.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $20.50 / $32.99	Facility		$16.46	$20.50	$32.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $20.13	Professional		$7.46	$7.46	$20.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Facility		$11.74	$11.74	$11.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $14.91 / $14.91	Professional		$14.91	$14.91	$14.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $19.57 / $25.16	Facility		$13.98	$19.57	$25.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $18.80 / $30.70	Professional		$12.12	$18.80	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $19.20 / $39.52	Facility		$12.12	$19.20	$39.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $12.12 / $26.85	Professional		$8.59	$12.12	$26.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $19.20 / $63.63	Facility		$12.12	$19.20	$63.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $12.12 / $25.69	Professional		$8.59	$12.12	$25.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $15.37 / $22.36	Professional		$13.98	$15.37	$22.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $24.42	Professional		$7.83	$11.18	$24.42