Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $41.39 / $162.90	Facility		$18.27	$41.39	$162.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $11.70 / $14.78	Professional		$10.75	$11.70	$14.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.33 / $9.33	Professional		$6.72	$9.33	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $14.78 / $23.78	Facility		$11.87	$14.78	$23.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $14.51	Professional		$6.64	$6.64	$14.51
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $8.47 / $8.47	Facility		$8.47	$8.47	$8.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Professional		$10.75	$10.75	$10.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $14.11 / $18.14	Facility		$10.08	$14.11	$18.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $13.62 / $22.13	Professional		$8.74	$13.62	$22.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $13.84 / $45.00	Facility		$8.74	$13.84	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.78 / $19.62	Professional		$6.77	$10.78	$19.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $20.48 / $90.65	Facility		$8.74	$20.48	$90.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $8.22 / $23.57	Professional		$6.25	$8.22	$23.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.08 / $16.12	Professional		$10.08	$11.08	$16.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.24 / $18.77	Professional		$5.64	$8.24	$18.77