Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $48.25 / $261.45	Facility		$14.32	$48.25	$261.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.00 / $48.00	Professional		$13.24	$16.00	$48.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $27.75	Professional		$12.43	$12.43	$27.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $19.69 / $31.68	Facility		$15.81	$19.69	$31.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $19.32	Professional		$8.84	$8.84	$19.32
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $11.28 / $11.28	Facility		$11.28	$11.28	$11.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Professional		$14.32	$14.32	$14.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $18.80 / $24.17	Facility		$13.43	$18.80	$24.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $17.89 / $29.48	Professional		$11.64	$17.89	$29.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $18.44 / $40.38	Facility		$11.64	$18.44	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.37 / $26.06	Professional		$9.08	$14.37	$26.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $40.27 / $172.70	Facility		$11.71	$40.27	$172.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $11.35 / $33.18	Professional		$3.66	$11.35	$33.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $14.77 / $21.48	Professional		$13.43	$14.77	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $10.74 / $25.02	Professional		$2.74	$10.74	$25.02