Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $52.18 / $169.01	Facility		$17.27	$52.18	$169.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $13.82 / $46.57	Professional		$8.98	$13.82	$46.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $26.77	Professional		$10.36	$10.36	$26.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $19.00 / $30.56	Facility		$15.25	$19.00	$30.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $17.27	Professional		$6.91	$6.91	$17.27
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Facility		$10.88	$10.88	$10.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $18.13 / $23.31	Facility		$12.95	$18.13	$23.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.27 / $28.44	Professional		$11.23	$17.27	$28.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.79 / $66.13	Facility		$11.23	$17.79	$66.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $8.10 / $24.78	Professional		$7.73	$8.10	$24.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $60.48 / $164.64	Facility		$17.78	$60.48	$164.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $8.09 / $18.13	Professional		$7.73	$8.09	$18.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $15.54 / $21.36	Professional		$12.95	$15.54	$21.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $27.86	Professional		$7.25	$10.36	$27.86