Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $39.65 / $99.90	Facility		$18.00	$39.65	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $16.86 / $34.42	Professional		$12.33	$16.86	$34.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $13.18 / $29.40	Professional		$11.38	$13.18	$29.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $20.87 / $33.57	Facility		$16.75	$20.87	$33.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $20.48	Professional		$9.36	$9.36	$20.48
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $11.95 / $11.95	Facility		$11.95	$11.95	$11.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Professional		$15.18	$15.18	$15.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $18.97 / $25.61	Facility		$12.94	$18.97	$25.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $24.66 / $25.61	Professional		$16.12	$24.66	$25.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $19.53 / $56.99	Facility		$12.33	$19.53	$56.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.22 / $27.61	Professional		$9.58	$15.22	$27.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $21.19 / $56.99	Facility		$12.33	$21.19	$56.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.26 / $31.81	Professional		$11.03	$12.26	$31.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $15.65 / $22.76	Professional		$14.23	$15.65	$22.76
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.38 / $24.85	Professional		$7.97	$11.38	$24.85