Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $38.04 / $87.00	Facility		$17.13	$38.04	$87.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $14.88 / $15.71	Professional		$11.13	$14.88	$15.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $11.89 / $11.89	Professional		$10.27	$11.89	$11.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $18.82 / $30.30	Facility		$15.12	$18.82	$30.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $18.48	Professional		$8.46	$8.46	$18.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $13.70 / $13.70	Professional		$13.70	$13.70	$13.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $17.12 / $23.11	Facility		$11.42	$17.12	$23.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $22.26 / $23.11	Professional		$14.55	$22.26	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $17.63 / $64.94	Facility		$11.13	$17.63	$64.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.74 / $24.93	Professional		$8.75	$13.74	$24.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $17.63 / $72.29	Facility		$11.13	$17.63	$72.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.07 / $23.02	Professional		$8.75	$13.07	$23.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $14.12 / $20.54	Professional		$12.84	$14.12	$20.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.27 / $23.94	Professional		$7.19	$10.27	$23.94