Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $28.80 / $56.76	Facility		$12.60	$28.80	$56.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.65 / $20.68	Professional		$9.57	$11.65	$20.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $8.59 / $8.99	Professional		$8.59	$8.59	$8.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.75 / $25.34	Facility		$12.64	$15.75	$25.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $15.46	Professional		$6.39	$6.39	$15.46
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Facility		$9.02	$9.02	$9.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.46 / $11.46	Professional		$11.46	$11.46	$11.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $15.04 / $19.32	Facility		$10.74	$15.04	$19.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $14.32 / $23.59	Professional		$9.31	$14.32	$23.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $14.75 / $43.37	Facility		$9.31	$14.75	$43.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.39 / $20.65	Professional		$6.60	$10.39	$20.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $22.16 / $52.94	Facility		$9.31	$22.16	$52.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $8.32 / $21.71	Professional		$6.48	$8.32	$21.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.81 / $17.18	Professional		$10.74	$11.81	$17.18
United Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $17.18 / $17.18	Facility		$17.18	$17.18	$17.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $8.59 / $18.76	Professional		$6.01	$8.59	$18.76