Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $35.26 / $64.58	Facility		$17.10	$35.26	$64.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $15.26 / $25.44	Professional		$14.09	$15.26	$25.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $19.39 / $31.20	Facility		$15.57	$19.39	$31.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $19.04	Professional		$8.71	$8.71	$19.04
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Facility		$11.11	$11.11	$11.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $17.63 / $23.80	Facility		$12.03	$17.63	$23.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $22.92 / $23.80	Professional		$14.99	$22.92	$23.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $18.14 / $76.59	Facility		$11.46	$18.14	$76.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $14.15 / $25.81	Professional		$8.92	$14.15	$25.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $18.14 / $76.59	Facility		$11.46	$18.14	$76.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $11.52 / $23.69	Professional		$8.92	$11.52	$23.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.54 / $21.15	Professional		$13.22	$14.54	$21.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $21.16	Facility		$21.16	$21.16	$21.16
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.58 / $24.64	Professional		$7.40	$10.58	$24.64