Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $38.75 / $167.40	Facility		$16.78	$38.75	$167.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $14.93 / $23.10	Professional		$13.42	$14.93	$23.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $10.06 / $11.65	Professional		$8.39	$10.06	$11.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $18.45 / $29.68	Facility		$14.81	$18.45	$29.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $18.37	Professional		$8.27	$8.27	$18.37
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $10.57 / $10.57	Facility		$10.57	$10.57	$10.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $19.59	Professional		$13.42	$13.42	$19.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $17.61 / $22.64	Facility		$12.58	$17.61	$22.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.85 / $27.62	Professional		$10.90	$16.85	$27.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $17.27 / $43.14	Facility		$10.90	$17.27	$43.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.46 / $24.42	Professional		$8.59	$13.46	$24.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $31.25 / $112.97	Facility		$10.90	$31.25	$112.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $11.02 / $28.86	Professional		$6.90	$11.02	$28.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $13.83 / $20.12	Professional		$12.58	$13.83	$20.12
United Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $16.77 / $16.77	Facility		$11.52	$16.77	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.29 / $23.44	Professional		$7.04	$10.29	$23.44