Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $40.98 / $109.19	Facility		$17.36	$40.98	$109.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $19.37 / $19.94	Professional		$17.36	$19.37	$19.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $15.07 / $15.07	Professional		$13.02	$15.07	$15.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $23.87 / $38.40	Facility		$19.16	$23.87	$38.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $23.43	Professional		$10.71	$10.71	$23.43
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $25.33	Professional		$17.36	$17.36	$25.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $22.79 / $29.30	Facility		$16.28	$22.79	$29.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $21.71 / $35.74	Professional		$14.11	$21.71	$35.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $22.35 / $63.58	Facility		$14.11	$22.35	$63.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $17.41 / $31.58	Professional		$11.06	$17.41	$31.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $22.72 / $107.71	Facility		$14.11	$22.72	$107.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $16.76 / $34.90	Professional		$11.06	$16.76	$34.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $17.90 / $26.04	Professional		$16.28	$17.90	$26.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $14.11 / $35.00	Professional		$9.11	$14.11	$35.00