Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $35.26 / $115.90	Facility		$16.46	$35.26	$115.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $15.07 / $24.36	Professional		$9.85	$15.07	$24.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $11.71 / $11.71	Professional		$11.71	$11.71	$11.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.55 / $29.85	Facility		$14.90	$18.55	$29.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.33 / $18.21	Professional		$7.08	$8.33	$18.21
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $10.63 / $10.63	Facility		$10.63	$10.63	$10.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $16.87 / $22.77	Facility		$11.51	$16.87	$22.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $21.93 / $22.77	Professional		$14.34	$21.93	$22.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $17.38 / $70.61	Facility		$10.97	$17.38	$70.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.54 / $24.55	Professional		$8.59	$13.54	$24.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $21.28 / $440.20	Facility		$10.97	$21.28	$440.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $10.97 / $28.28	Professional		$8.85	$10.97	$28.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $13.91 / $20.23	Professional		$12.65	$13.91	$20.23
United Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $15.18	Facility		$6.07	$6.07	$15.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.34 / $27.21	Professional		$7.09	$10.34	$27.21