Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $27.99 / $49.55	Facility		$10.71	$27.99	$49.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $11.91 / $16.03	Professional		$10.71	$11.91	$16.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.30 / $9.30	Professional		$8.02	$9.30	$9.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $14.73 / $23.70	Facility		$11.82	$14.73	$23.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $14.46	Professional		$6.61	$6.61	$14.46
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Facility		$8.44	$8.44	$8.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $13.39 / $18.07	Facility		$9.14	$13.39	$18.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $17.41 / $18.07	Professional		$11.38	$17.41	$18.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $13.78 / $30.21	Facility		$8.69	$13.78	$30.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.74 / $19.48	Professional		$6.77	$10.74	$19.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $13.78 / $51.30	Facility		$8.69	$13.78	$51.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $8.52 / $22.45	Professional		$5.87	$8.52	$22.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $11.04 / $16.06	Professional		$10.03	$11.04	$16.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.19 / $18.71	Professional		$5.62	$8.19	$18.71