Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $49.19 / $165.60	Facility		$23.03	$49.19	$165.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $16.59 / $32.72	Professional		$13.01	$16.59	$32.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.15 / $28.80	Professional		$9.28	$11.15	$28.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $20.44 / $32.88	Facility		$16.41	$20.44	$32.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $10.77 / $15.96	Professional		$8.78	$10.77	$15.96
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $11.71 / $11.71	Facility		$11.71	$11.71	$11.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $21.71	Professional		$14.86	$14.86	$21.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $19.51 / $25.08	Facility		$13.94	$19.51	$25.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $18.57 / $30.60	Professional		$12.08	$18.57	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $19.13 / $41.92	Facility		$12.08	$19.13	$41.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $18.64 / $27.05	Professional		$9.41	$18.64	$27.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $52.92 / $151.82	Facility		$16.19	$52.92	$151.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $14.64 / $34.85	Professional		$8.11	$14.64	$34.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $15.33 / $22.30	Professional		$13.94	$15.33	$22.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.15 / $25.97	Professional		$7.80	$11.15	$25.97