Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $39.28 / $151.19	Facility		$19.37	$39.28	$151.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $16.93 / $20.67	Professional		$15.03	$16.93	$20.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $13.05 / $13.05	Professional		$11.27	$13.05	$13.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $20.67 / $33.25	Facility		$16.59	$20.67	$33.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $20.29	Professional		$9.27	$9.27	$20.29
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $11.84 / $11.84	Facility		$11.84	$11.84	$11.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Professional		$15.03	$15.03	$15.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $19.73 / $25.37	Facility		$14.09	$19.73	$25.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $18.80 / $30.94	Professional		$12.21	$18.80	$30.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $19.34 / $42.40	Facility		$12.21	$19.34	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.08 / $27.35	Professional		$9.58	$15.08	$27.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $25.87 / $115.74	Facility		$12.29	$25.87	$115.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $15.13 / $34.10	Professional		$11.90	$15.13	$34.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $15.49 / $22.54	Professional		$14.09	$15.49	$22.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.31 / $26.26	Professional		$7.89	$11.31	$26.26