Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $31.49 / $152.60	Facility		$15.65	$31.49	$152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.77 / $17.02	Professional		$10.48	$12.77	$17.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.84 / $9.84	Professional		$7.09	$9.84	$9.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $15.60 / $25.09	Facility		$12.52	$15.60	$25.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $15.31	Professional		$7.00	$7.00	$15.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Facility		$8.93	$8.93	$8.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $16.55	Professional		$11.34	$11.34	$16.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $14.89 / $19.14	Facility		$10.64	$14.89	$19.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $14.27 / $23.36	Professional		$9.22	$14.27	$23.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $14.60 / $31.98	Facility		$9.22	$14.60	$31.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.38 / $20.65	Professional		$7.26	$11.38	$20.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $26.41 / $99.84	Facility		$9.27	$26.41	$99.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $8.99 / $24.14	Professional		$5.42	$8.99	$24.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $11.70 / $17.02	Professional		$10.64	$11.70	$17.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.51 / $19.80	Professional		$5.96	$8.51	$19.80