Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $33.61 / $101.70	Facility		$14.05	$33.61	$101.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.16 / $12.91	Professional		$10.06	$11.16	$12.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $14.19 / $22.83	Facility		$11.39	$14.19	$22.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $13.93	Professional		$6.37	$6.37	$13.93
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $10.32 / $15.06	Professional		$10.32	$10.32	$15.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $13.55 / $17.42	Facility		$9.68	$13.55	$17.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $12.97 / $21.24	Professional		$8.39	$12.97	$21.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $13.29 / $48.14	Facility		$8.39	$13.29	$48.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.35 / $18.77	Professional		$6.60	$10.35	$18.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $32.11 / $87.02	Facility		$11.52	$32.11	$87.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $9.33 / $22.02	Professional		$6.60	$9.33	$22.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $10.64 / $15.48	Professional		$9.68	$10.64	$15.48
United Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $12.90 / $12.90	Facility		$6.45	$12.90	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.74 / $18.01	Professional		$5.42	$7.74	$18.01