Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $33.99 / $105.41	Facility		$16.26	$33.99	$105.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.17 / $28.34	Professional		$10.57	$14.17	$28.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $11.29 / $25.20	Professional		$9.76	$11.29	$25.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $17.89 / $28.78	Facility		$14.36	$17.89	$28.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $17.55	Professional		$8.02	$8.02	$17.55
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $10.24 / $10.24	Facility		$10.24	$10.24	$10.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $13.01	Professional		$13.01	$13.01	$13.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $16.26 / $21.95	Facility		$11.09	$16.26	$21.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $21.14 / $21.95	Professional		$13.82	$21.14	$21.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $16.73 / $60.69	Facility		$10.57	$16.73	$60.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.05 / $23.66	Professional		$8.26	$13.05	$23.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $17.02 / $60.69	Facility		$10.57	$17.02	$60.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.47 / $28.72	Professional		$9.94	$12.47	$28.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.42 / $19.52	Professional		$12.20	$13.42	$19.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.76 / $22.72	Professional		$6.83	$9.76	$22.72