Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $28.64 / $90.84	Facility		$13.64	$28.64	$90.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.59 / $14.45	Professional		$11.22	$11.59	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $15.90 / $25.57	Facility		$12.76	$15.90	$25.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $15.60	Professional		$6.36	$6.36	$15.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $9.10 / $9.10	Facility		$9.10	$9.10	$9.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $15.17 / $19.51	Facility		$10.84	$15.17	$19.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $14.59 / $23.79	Professional		$9.39	$14.59	$23.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $14.87 / $83.66	Facility		$9.39	$14.87	$83.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.33 / $21.17	Professional		$6.60	$10.33	$21.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $14.87 / $83.66	Facility		$9.39	$14.87	$83.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $10.33 / $17.29	Professional		$7.12	$10.33	$17.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $11.92 / $17.34	Professional		$10.84	$11.92	$17.34
United Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.20 / $13.01	Facility		$5.20	$5.20	$13.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $8.67 / $19.07	Professional		$6.07	$8.67	$19.07