Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $49.08 / $292.02	Facility		$20.61	$49.08	$292.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.53 / $19.63	Professional		$12.76	$17.53	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $13.63 / $13.63	Professional		$11.78	$13.63	$13.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $21.59 / $34.74	Facility		$17.32	$21.59	$34.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $21.20	Professional		$9.69	$9.69	$21.20
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Facility		$12.37	$12.37	$12.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $15.70 / $15.70	Professional		$15.70	$15.70	$15.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $20.61 / $26.50	Facility		$14.72	$20.61	$26.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $19.78 / $32.33	Professional		$12.76	$19.78	$32.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $20.21 / $132.35	Facility		$12.76	$20.21	$132.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.76 / $28.57	Professional		$9.91	$15.76	$28.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $55.89 / $238.32	Facility		$16.10	$55.89	$238.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $13.14 / $34.88	Professional		$7.85	$13.14	$34.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $16.19 / $23.55	Professional		$10.80	$16.19	$23.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.81 / $28.60	Professional		$8.24	$11.81	$28.60