Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $43.72 / $90.41	Facility		$15.92	$43.72	$90.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.32 / $21.84	Professional		$12.74	$14.32	$21.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.55 / $11.04	Professional		$7.96	$9.55	$11.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $17.51 / $28.17	Facility		$14.06	$17.51	$28.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $12.85	Professional		$7.86	$7.86	$12.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Facility		$10.02	$10.02	$10.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $18.57	Professional		$18.57	$18.57	$18.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $16.72 / $21.49	Facility		$11.94	$16.72	$21.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $15.92 / $26.22	Professional		$10.35	$15.92	$26.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $16.39 / $35.88	Facility		$10.35	$16.39	$35.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $16.14 / $27.33	Professional		$8.09	$16.14	$27.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $25.60 / $77.18	Facility		$10.40	$25.60	$77.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $12.77 / $29.07	Professional		$7.31	$12.77	$29.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $13.13 / $19.10	Professional		$11.94	$13.13	$19.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.92 / $23.20	Professional		$9.55	$15.92	$23.20