Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $39.59 / $92.70	Facility		$22.40	$39.59	$92.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.73 / $31.43	Professional		$11.22	$15.73	$31.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $18.05	Professional		$12.54	$12.54	$18.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $19.87 / $31.96	Facility		$15.95	$19.87	$31.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $19.50	Professional		$8.92	$8.92	$19.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $11.38 / $11.38	Facility		$11.38	$11.38	$11.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $18.96 / $24.38	Facility		$13.55	$18.96	$24.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $18.14 / $29.74	Professional		$11.74	$18.14	$29.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $18.60 / $40.72	Facility		$11.74	$18.60	$40.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $14.49 / $26.28	Professional		$9.25	$14.49	$26.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $18.60 / $96.32	Facility		$10.13	$18.60	$96.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $11.86 / $33.94	Professional		$9.39	$11.86	$33.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $14.90 / $21.68	Professional		$13.55	$14.90	$21.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.86 / $25.23	Professional		$7.59	$10.86	$25.23