Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $43.30 / $91.22	Facility		$17.18	$43.30	$91.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.90 / $19.75	Professional		$11.88	$13.90	$19.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $17.67 / $28.42	Facility		$14.18	$17.67	$28.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $7.93 / $17.34	Professional		$7.93	$7.93	$17.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Facility		$10.11	$10.11	$10.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $18.76	Professional		$12.85	$12.85	$18.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.86 / $21.68	Facility		$12.05	$16.86	$21.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $16.20 / $26.45	Professional		$10.44	$16.20	$26.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $16.54 / $36.22	Facility		$10.44	$16.54	$36.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.89 / $23.37	Professional		$8.09	$12.89	$23.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $23.17 / $107.22	Facility		$10.50	$23.17	$107.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.12 / $26.92	Professional		$7.56	$12.12	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.25 / $19.28	Professional		$12.05	$13.25	$19.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $22.44	Professional		$6.75	$9.64	$22.44