Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $39.75 / $174.64	Facility		$15.23	$39.75	$174.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $17.00 / $39.75	Professional		$14.08	$17.00	$39.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $13.23	Professional		$13.23	$13.23	$13.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $20.94 / $33.70	Facility		$16.80	$20.94	$33.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $9.40 / $20.56	Professional		$8.64	$9.40	$20.56
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $15.23 / $15.23	Professional		$15.23	$15.23	$15.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $19.04 / $25.70	Facility		$12.99	$19.04	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $24.75 / $25.70	Professional		$16.18	$24.75	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $19.60 / $42.96	Facility		$12.38	$19.60	$42.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $15.28 / $27.72	Professional		$9.74	$15.28	$27.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $19.61 / $179.07	Facility		$12.38	$19.61	$179.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $12.14 / $25.58	Professional		$3.67	$12.14	$25.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $15.70 / $22.84	Professional		$14.28	$15.70	$22.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $9.52 / $25.15	Professional		$2.74	$9.52	$25.15