Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $38.44 / $121.50	Facility		$20.03	$38.44	$121.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.55 / $22.07	Professional		$13.79	$16.55	$22.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $28.50	Professional		$11.03	$11.03	$28.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $20.23 / $32.54	Facility		$16.23	$20.23	$32.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $19.86	Professional		$9.08	$9.08	$19.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Facility		$11.59	$11.59	$11.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $21.48	Professional		$14.71	$14.71	$21.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $19.30 / $24.83	Facility		$13.79	$19.30	$24.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $18.48 / $30.28	Professional		$11.95	$18.48	$30.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $18.93 / $41.49	Facility		$11.95	$18.93	$41.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.76 / $26.78	Professional		$9.41	$14.76	$26.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $23.56 / $84.79	Facility		$11.95	$23.56	$84.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $9.41 / $33.18	Professional		$1.69	$9.41	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.16 / $22.06	Professional		$13.79	$15.16	$22.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.03 / $25.70	Professional		$7.72	$11.03	$25.70