Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $44.38 / $154.80	Facility		$21.79	$44.38	$154.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $14.82 / $20.74	Professional		$13.17	$14.82	$20.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $11.43	Professional		$9.88	$9.88	$11.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $18.11 / $29.13	Facility		$14.53	$18.11	$29.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $17.77	Professional		$8.13	$8.13	$17.77
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $10.37 / $10.37	Facility		$10.37	$10.37	$10.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $19.23	Professional		$13.17	$13.17	$19.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $17.28 / $22.22	Facility		$12.35	$17.28	$22.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $16.53 / $27.11	Professional		$10.70	$16.53	$27.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $16.95 / $55.15	Facility		$10.70	$16.95	$55.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.21 / $23.96	Professional		$8.42	$13.21	$23.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $17.82 / $80.64	Facility		$3.41	$17.82	$80.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $8.42 / $30.86	Professional		$0.92	$8.42	$30.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $13.58 / $19.76	Professional		$12.35	$13.58	$19.76
United Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $19.75	Facility		$19.75	$19.75	$19.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.88 / $23.01	Professional		$6.91	$9.88	$23.01