Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $51.24 / $75.50	Facility		$19.61	$51.24	$75.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $21.36 / $22.67	Professional		$15.44	$21.36	$22.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $26.96 / $43.38	Facility		$21.64	$26.96	$43.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $26.47	Professional		$12.10	$12.10	$26.47
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $15.44 / $15.44	Facility		$15.44	$15.44	$15.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $24.51 / $33.09	Facility		$16.72	$24.51	$33.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $31.86 / $33.09	Professional		$20.83	$31.86	$33.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $25.23 / $91.50	Facility		$15.93	$25.23	$91.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $19.67 / $35.67	Professional		$12.38	$19.67	$35.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $25.23 / $92.93	Facility		$15.93	$25.23	$92.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $15.93 / $32.90	Professional		$12.38	$15.93	$32.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.05 / $30.32	Professional		$18.38	$22.05	$30.32
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.74 / $32.36	Professional		$10.29	$14.74	$32.36