Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $44.44 / $213.30	Facility		$22.28	$44.44	$213.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.98 / $30.69	Professional		$15.95	$18.98	$30.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $14.77	Professional		$12.76	$12.76	$14.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $23.39 / $37.61	Facility		$18.77	$23.39	$37.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $22.96	Professional		$10.50	$10.50	$22.96
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Facility		$13.39	$13.39	$13.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $17.01 / $24.83	Professional		$17.01	$17.01	$24.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $22.32 / $28.70	Facility		$15.95	$22.32	$28.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $21.40 / $35.02	Professional		$13.82	$21.40	$35.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $21.89 / $71.20	Facility		$13.82	$21.89	$71.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $17.05 / $30.96	Professional		$10.73	$17.05	$30.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $39.15 / $192.00	Facility		$13.82	$39.15	$192.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.07 / $38.54	Professional		$13.39	$16.07	$38.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $17.54 / $25.52	Professional		$15.95	$17.54	$25.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $13.04 / $32.28	Professional		$8.93	$13.04	$32.28