Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $36.04 / $136.00	Facility		$17.21	$36.04	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $14.89 / $72.65	Professional		$8.84	$14.89	$72.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.58 / $11.58	Professional		$10.00	$11.58	$11.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $18.34 / $29.50	Facility		$14.72	$18.34	$29.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $18.00	Professional		$8.23	$8.23	$18.00
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $19.47	Professional		$13.34	$13.34	$19.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $16.67 / $22.50	Facility		$11.37	$16.67	$22.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $21.67 / $22.50	Professional		$14.17	$21.67	$22.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $17.17 / $62.28	Facility		$10.84	$17.17	$62.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.38 / $24.26	Professional		$8.42	$13.38	$24.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $18.97 / $132.38	Facility		$10.84	$18.97	$132.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.38 / $29.52	Professional		$8.68	$13.38	$29.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $13.75 / $20.00	Professional		$12.50	$13.75	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.02 / $23.29	Professional		$7.00	$10.02	$23.29