Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $48.12 / $216.90	Facility		$23.34	$48.12	$216.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.32 / $44.46	Professional		$15.56	$19.32	$44.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $17.04	Professional		$13.34	$13.34	$17.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $24.45 / $39.34	Facility		$19.63	$24.45	$39.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $24.00	Professional		$10.98	$10.98	$24.00
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $23.34 / $30.01	Facility		$16.67	$23.34	$30.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.36 / $36.61	Professional		$14.45	$22.36	$36.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.89 / $50.17	Facility		$14.45	$22.89	$50.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.84 / $32.36	Professional		$11.23	$17.84	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $43.56 / $198.33	Facility		$14.88	$43.56	$198.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.39 / $41.70	Professional		$11.23	$17.39	$41.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $18.33 / $26.67	Professional		$16.67	$18.33	$26.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.34 / $31.07	Professional		$9.34	$13.34	$31.07