Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $64.78 / $252.00	Facility		$24.09	$64.78	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.50 / $33.92	Professional		$18.35	$20.50	$33.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $15.93 / $35.56	Professional		$15.93	$15.93	$35.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $25.23 / $40.60	Facility		$20.26	$25.23	$40.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $24.77	Professional		$11.33	$11.33	$24.77
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $18.35 / $18.35	Professional		$18.35	$18.35	$18.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $22.94 / $30.97	Facility		$15.65	$22.94	$30.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.82 / $30.97	Professional		$19.50	$29.82	$30.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $23.62 / $85.67	Facility		$14.91	$23.62	$85.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $18.41 / $33.39	Professional		$11.72	$18.41	$33.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $41.42 / $184.24	Facility		$15.00	$41.42	$184.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $18.48 / $43.15	Professional		$14.28	$18.48	$43.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $18.93 / $27.53	Professional		$17.21	$18.93	$27.53
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.76 / $32.06	Professional		$9.63	$13.76	$32.06