Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $33.42 / $90.00	Facility		$16.72	$33.42	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $14.93 / $30.08	Professional		$13.37	$14.93	$30.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $11.61	Professional		$10.02	$10.02	$11.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $18.38 / $29.57	Facility		$14.75	$18.38	$29.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $18.04	Professional		$8.25	$8.25	$18.04
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $10.53	Facility		$10.53	$10.53	$10.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Professional		$13.37	$13.37	$13.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $17.55 / $22.56	Facility		$12.53	$17.55	$22.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $16.85 / $27.51	Professional		$10.86	$16.85	$27.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $17.20 / $62.38	Facility		$10.86	$17.20	$62.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.41 / $24.33	Professional		$8.42	$13.41	$24.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $21.07 / $107.53	Facility		$10.86	$21.07	$107.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.57 / $22.45	Professional		$8.42	$12.57	$22.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $13.78 / $20.04	Professional		$12.53	$13.78	$20.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.02 / $24.35	Professional		$7.02	$10.02	$24.35