Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $35.22 / $81.90	Facility		$16.11	$35.22	$81.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.42 / $35.65	Professional		$8.52	$12.42	$35.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $10.66 / $10.66	Professional		$10.66	$10.66	$10.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $18.77 / $30.19	Facility		$15.06	$18.77	$30.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $6.82 / $17.05	Professional		$6.82	$6.82	$17.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $17.05 / $23.03	Facility		$11.15	$17.05	$23.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $22.18 / $23.03	Professional		$14.50	$22.18	$23.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $17.57 / $96.31	Facility		$11.09	$17.57	$96.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.09 / $24.78	Professional		$7.41	$11.09	$24.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $17.85 / $96.31	Facility		$11.09	$17.85	$96.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.77 / $19.02	Professional		$7.41	$8.77	$19.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $15.36 / $21.12	Professional		$12.80	$15.36	$21.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $15.35	Facility		$6.14	$6.14	$15.35
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $9.72 / $24.86	Professional		$6.85	$9.72	$24.86