Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $48.95 / $101.66	Facility		$22.76	$48.95	$101.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.41 / $26.83	Professional		$15.21	$19.41	$26.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $33.68	Professional		$13.04	$13.04	$33.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $23.90 / $38.46	Facility		$19.19	$23.90	$38.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $23.46	Professional		$10.73	$10.73	$23.46
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.69 / $13.69	Facility		$13.69	$13.69	$13.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $22.82 / $29.34	Facility		$16.30	$22.82	$29.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $21.73 / $35.79	Professional		$14.12	$21.73	$35.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $22.37 / $71.53	Facility		$14.12	$22.37	$71.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $17.44 / $31.64	Professional		$11.06	$17.44	$31.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $35.89 / $124.72	Facility		$11.90	$35.89	$124.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $15.39 / $45.88	Professional		$11.06	$15.39	$45.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $17.93 / $26.08	Professional		$16.30	$17.93	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.04 / $29.09	Professional		$9.13	$13.04	$29.09