Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $49.28 / $116.15	Facility		$22.28	$49.28	$116.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.88 / $34.38	Professional		$15.14	$18.88	$34.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $25.96 / $41.76	Facility		$20.84	$25.96	$41.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.44 / $23.60	Professional		$9.36	$9.44	$23.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $14.87 / $14.87	Facility		$14.87	$14.87	$14.87
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $18.88 / $18.88	Professional		$18.88	$18.88	$18.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $23.60 / $31.86	Facility		$15.52	$23.60	$31.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $30.68 / $31.86	Professional		$20.05	$30.68	$31.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $24.30 / $68.89	Facility		$15.34	$24.30	$68.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $15.34 / $34.07	Professional		$10.42	$15.34	$34.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $24.30 / $91.75	Facility		$15.34	$24.30	$91.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $11.75 / $22.10	Professional		$10.41	$11.75	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $19.47 / $28.32	Professional		$17.70	$19.47	$28.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $14.16 / $28.32	Professional		$9.66	$14.16	$28.32