Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $32.47 / $159.30	Facility		$10.79	$32.47	$159.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.76 / $17.64	Professional		$11.12	$15.76	$17.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.26 / $12.26	Professional		$12.26	$12.26	$12.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $19.42 / $31.24	Facility		$15.58	$19.42	$31.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $19.05	Professional		$8.72	$8.72	$19.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $11.12 / $11.12	Facility		$11.12	$11.12	$11.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $17.64 / $23.83	Facility		$12.04	$17.64	$23.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $22.95 / $23.83	Professional		$15.00	$22.95	$23.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $18.17 / $39.82	Facility		$11.47	$18.17	$39.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $14.16 / $25.81	Professional		$8.92	$14.16	$25.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $18.17 / $68.84	Facility		$11.47	$18.17	$68.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $11.37 / $29.59	Professional		$3.66	$11.37	$29.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $14.56 / $21.18	Professional		$13.24	$14.56	$21.18
United Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $8.40 / $23.12	Professional		$2.70	$8.40	$23.12