Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $35.29 / $224.13	Facility		$15.11	$35.29	$224.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $12.77 / $25.64	Professional		$11.30	$12.77	$25.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $21.89	Professional		$21.89	$21.89	$21.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $15.53 / $24.99	Facility		$12.47	$15.53	$24.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $15.24	Professional		$6.97	$6.97	$15.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $8.90 / $8.90	Facility		$8.90	$8.90	$8.90
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $16.50	Professional		$11.30	$11.30	$16.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $14.83 / $19.05	Facility		$10.59	$14.83	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $14.27 / $23.25	Professional		$9.18	$14.27	$23.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $14.54 / $57.05	Facility		$9.18	$14.54	$57.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $11.33 / $20.65	Professional		$7.10	$11.33	$20.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $24.14 / $189.79	Facility		$9.24	$24.14	$189.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.65 / $26.66	Professional		$7.10	$10.65	$26.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.64 / $16.94	Professional		$10.59	$11.64	$16.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $8.47 / $19.73	Professional		$5.93	$8.47	$19.73