Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $37.46 / $154.80	Facility		$17.93	$37.46	$154.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $15.28 / $30.58	Professional		$12.54	$15.28	$30.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $10.75 / $12.93	Professional		$8.96	$10.75	$12.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $19.71 / $31.71	Facility		$15.82	$19.71	$31.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $19.35	Professional		$8.33	$8.33	$19.35
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $11.29 / $11.29	Facility		$11.29	$11.29	$11.29
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $19.70	Professional		$14.34	$14.34	$19.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $18.82 / $24.19	Facility		$13.44	$18.82	$24.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $17.92 / $29.51	Professional		$11.65	$17.92	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $18.45 / $38.04	Facility		$11.65	$18.45	$38.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.54 / $25.81	Professional		$8.59	$13.54	$25.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $37.75 / $129.50	Facility		$11.65	$37.75	$129.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.46 / $30.60	Professional		$8.59	$11.46	$30.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $14.78 / $21.50	Professional		$13.44	$14.78	$21.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.75 / $32.63	Professional		$7.53	$10.75	$32.63