Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $44.08 / $91.94	Facility		$22.50	$44.08	$91.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $19.03 / $21.99	Professional		$15.83	$19.03	$21.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $15.28 / $31.00	Professional		$13.19	$15.28	$31.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $24.19 / $38.92	Facility		$19.42	$24.19	$38.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $23.74	Professional		$10.86	$10.86	$23.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $13.85	Facility		$13.85	$13.85	$13.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $17.59 / $17.59	Professional		$17.59	$17.59	$17.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $23.09 / $29.69	Facility		$16.48	$23.09	$29.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $22.04 / $36.22	Professional		$14.29	$22.04	$36.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $22.64 / $65.66	Facility		$14.29	$22.64	$65.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.64 / $32.02	Professional		$11.23	$17.64	$32.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $32.22 / $92.95	Facility		$14.29	$32.22	$92.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $14.16 / $41.21	Professional		$11.79	$14.16	$41.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $18.13 / $26.38	Professional		$16.48	$18.13	$26.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $28.81	Professional		$9.24	$13.19	$28.81