Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $32.47 / $66.90	Facility		$17.27	$32.47	$66.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.39 / $16.41	Professional		$11.29	$12.39	$16.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $17.27	Professional		$10.36	$10.36	$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 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 / $17.27 / $23.31	Facility		$14.68	$17.27	$23.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $22.45 / $23.31	Professional		$14.68	$22.45	$23.31
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 $11.23 / $17.79 / $40.59	Facility		$11.23	$17.79	$40.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.74 / $21.08	Professional		$7.27	$8.74	$21.08
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 / $31.45	Professional		$7.25	$10.36	$31.45