Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $47.40 / $182.91	Facility		$22.50	$47.40	$182.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.54 / $33.21	Professional		$14.22	$16.54	$33.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $13.17 / $29.39	Professional		$9.48	$13.17	$29.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $20.86 / $33.54	Facility		$16.73	$20.86	$33.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $21.50	Professional		$9.36	$9.36	$21.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Facility		$11.94	$11.94	$11.94
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Professional		$15.17	$15.17	$15.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $19.91 / $25.60	Facility		$14.22	$19.91	$25.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $19.13 / $31.22	Professional		$12.32	$19.13	$31.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $19.51 / $42.78	Facility		$12.32	$19.51	$42.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.22 / $27.60	Professional		$9.58	$15.22	$27.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $28.87 / $104.60	Facility		$12.32	$28.87	$104.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $10.09 / $33.18	Professional		$3.79	$10.09	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $15.64 / $22.75	Professional		$14.22	$15.64	$22.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.38 / $27.62	Professional		$7.96	$11.38	$27.62