Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $38.39 / $92.60	Facility		$22.23	$38.39	$92.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.48 / $22.22	Professional		$12.04	$13.48	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.58 / $11.58	Professional		$11.11	$11.58	$11.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $20.37 / $32.77	Facility		$16.35	$20.37	$32.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $20.00	Professional		$7.41	$7.41	$20.00
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $11.67 / $11.67	Facility		$11.67	$11.67	$11.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Professional		$14.82	$14.82	$14.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $19.45 / $25.00	Facility		$13.89	$19.45	$25.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $18.52 / $30.50	Professional		$12.04	$18.52	$30.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $19.07 / $63.21	Facility		$12.04	$19.07	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.04 / $26.33	Professional		$8.42	$12.04	$26.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $28.48 / $177.94	Facility		$12.04	$28.48	$177.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.34 / $24.65	Professional		$8.52	$11.34	$24.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $15.27 / $22.22	Professional		$13.89	$15.27	$22.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.11 / $24.26	Professional		$7.78	$11.11	$24.26