Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $93.41 / $324.00	Facility		$21.42	$93.41	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $23.50 / $38.00	Professional		$12.39	$23.50	$38.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $10.80 / $17.27	Professional		$8.64	$10.80	$17.27
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 / $17.27	Professional		$6.91	$6.91	$17.27
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 / $13.82	Professional		$13.82	$13.82	$13.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $18.13 / $23.31	Facility		$14.68	$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 / $17.78 / $36.39	Facility		$11.23	$17.78	$36.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $15.21 / $24.78	Professional		$7.81	$15.21	$24.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $21.90 / $88.36	Facility		$5.35	$21.90	$88.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $7.81 / $50.10	Professional		$4.42	$7.81	$50.10
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 Professional Modifier Low / Median / High Price $7.25 / $10.36 / $22.62	Professional		$7.25	$10.36	$22.62