Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $50.51 / $88.07	Facility		$25.25	$50.51	$88.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $21.85 / $39.04	Professional		$16.41	$21.85	$39.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $39.14	Professional		$17.54	$17.54	$39.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $27.78 / $44.68	Facility		$22.30	$27.78	$44.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $27.27	Professional		$12.47	$12.47	$27.27
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $15.91 / $15.91	Facility		$15.91	$15.91	$15.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Professional		$20.20	$20.20	$20.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $25.25 / $34.09	Facility		$17.23	$25.25	$34.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $32.83 / $34.09	Professional		$21.46	$32.83	$34.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $25.99 / $87.01	Facility		$16.41	$25.99	$87.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.27 / $36.76	Professional		$12.88	$20.27	$36.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $28.20 / $141.25	Facility		$16.41	$28.20	$141.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.84 / $45.79	Professional		$12.88	$19.84	$45.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $20.83 / $30.30	Professional		$18.94	$20.83	$30.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.15 / $35.28	Professional		$10.61	$15.15	$35.28