Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $38.00 / $88.16	Facility		$19.91	$38.00	$88.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $15.34 / $31.63	Professional		$13.47	$15.34	$31.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $13.18	Professional		$12.65	$12.65	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.20 / $37.32	Facility		$18.62	$23.20	$37.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $21.09	Professional		$8.44	$8.44	$21.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $16.87 / $16.87	Professional		$16.87	$16.87	$16.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $22.14 / $28.47	Facility		$15.82	$22.14	$28.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $21.09 / $34.74	Professional		$13.71	$21.09	$34.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $21.72 / $53.17	Facility		$13.71	$21.72	$53.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.71 / $30.46	Professional		$9.58	$13.71	$30.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $23.99 / $63.23	Facility		$10.74	$23.99	$63.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $9.93 / $26.70	Professional		$6.59	$9.93	$26.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $17.40 / $25.31	Professional		$15.82	$17.40	$25.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.65 / $27.63	Professional		$8.44	$12.65	$27.63