Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $63.71 / $360.29	Facility		$21.42	$63.71	$360.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.57 / $46.57	Professional		$11.29	$12.57	$46.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.79	Professional		$10.36	$10.36	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $19.00 / $30.56	Facility		$15.25	$19.00	$30.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $11.65	Professional		$6.91	$6.91	$11.65
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $10.88	Facility		$10.88	$10.88	$10.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $15.13	Professional		$13.82	$13.82	$15.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $18.13 / $23.31	Facility		$12.95	$18.13	$23.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.27 / $28.44	Professional		$11.23	$17.27	$28.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.79 / $100.05	Facility		$11.23	$17.79	$100.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $11.23 / $24.78	Professional		$7.93	$11.23	$24.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $39.61 / $151.09	Facility		$11.23	$39.61	$151.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $8.19 / $33.69	Professional		$5.92	$8.19	$33.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $14.24 / $20.72	Professional		$12.95	$14.24	$20.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.22 / $15.54	Facility		$6.22	$6.22	$15.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $22.62	Professional		$7.25	$10.36	$22.62