Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $42.16 / $150.69	Facility		$19.96	$42.16	$150.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $15.54 / $28.66	Professional		$14.26	$15.54	$28.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.38 / $27.64	Professional		$10.70	$12.38	$27.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $16.96 / $27.29	Facility		$13.62	$16.96	$27.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $20.21	Professional		$8.80	$8.80	$20.21
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Facility		$11.23	$11.23	$11.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $14.26 / $14.26	Professional		$14.26	$14.26	$14.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $18.72 / $24.07	Facility		$11.59	$18.72	$24.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $23.18 / $40.13	Professional		$11.59	$23.18	$40.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $18.36 / $66.56	Facility		$11.59	$18.36	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $21.13 / $44.46	Professional		$16.46	$21.13	$44.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $23.48 / $89.63	Facility		$11.59	$23.48	$89.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $16.70 / $34.08	Professional		$9.09	$16.70	$34.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $14.99 / $22.06	Professional		$9.22	$14.99	$22.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.73 / $24.92	Professional		$7.49	$10.73	$24.92