Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $49.91 / $76.84	Facility		$22.55	$49.91	$76.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $21.71 / $34.92	Professional		$19.96	$21.71	$34.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $17.32	Professional		$14.97	$14.97	$17.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $27.45 / $44.15	Facility		$22.03	$27.45	$44.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $12.32 / $17.21	Professional		$9.64	$12.32	$17.21
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $15.72	Facility		$15.72	$15.72	$15.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $19.96 / $19.96	Professional		$19.96	$19.96	$19.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $26.20 / $33.68	Facility		$18.71	$26.20	$33.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.96 / $41.09	Professional		$16.22	$24.96	$41.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.69 / $56.29	Facility		$16.22	$25.69	$56.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $23.36 / $36.33	Professional		$12.71	$23.36	$36.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.81 / $94.73	Facility		$16.22	$26.81	$94.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $15.96 / $41.85	Professional		$12.71	$15.96	$41.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $20.58 / $29.93	Professional		$18.71	$20.58	$29.93
United Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $8.98 / $22.46	Facility		$8.98	$8.98	$22.46
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $14.97 / $32.95	Professional		$10.48	$14.97	$32.95