Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $44.34 / $123.61	Facility		$21.87	$44.34	$123.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.33 / $27.57	Professional		$14.34	$15.33	$27.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $13.26	Professional		$12.73	$12.73	$13.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $23.33 / $37.54	Facility		$18.73	$23.33	$37.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $22.80	Professional		$8.48	$8.48	$22.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $13.36	Facility		$13.36	$13.36	$13.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $16.97 / $16.97	Professional		$16.97	$16.97	$16.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $22.27 / $28.63	Facility		$15.91	$22.27	$28.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $21.40 / $34.93	Professional		$13.79	$21.40	$34.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $21.84 / $98.55	Facility		$13.79	$21.84	$98.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.79 / $30.46	Professional		$9.74	$13.79	$30.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $38.88 / $192.59	Facility		$13.79	$38.88	$192.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.22 / $31.03	Professional		$9.92	$13.22	$31.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $17.50 / $25.45	Professional		$15.91	$17.50	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.73 / $28.29	Professional		$8.91	$12.73	$28.29