Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $54.36 / $167.40	Facility		$20.86	$54.36	$167.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.68 / $34.77	Professional		$11.41	$14.68	$34.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.49	Professional		$9.77	$9.77	$12.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $17.93 / $28.85	Facility		$14.39	$17.93	$28.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $17.60	Professional		$8.05	$8.05	$17.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Facility		$10.27	$10.27	$10.27
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $13.04	Professional		$13.04	$13.04	$13.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $17.12 / $22.01	Facility		$12.23	$17.12	$22.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $16.30 / $26.85	Professional		$10.60	$16.30	$26.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $16.79 / $60.87	Facility		$10.60	$16.79	$60.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.08 / $23.72	Professional		$8.26	$13.08	$23.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $43.26 / $115.27	Facility		$13.36	$43.26	$115.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $12.83 / $28.77	Professional		$6.52	$12.83	$28.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $13.45 / $19.56	Professional		$12.23	$13.45	$19.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $9.81 / $22.78	Professional		$6.85	$9.81	$22.78