Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $35.69 / $171.90	Facility		$13.27	$35.69	$171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $10.59 / $13.04	Professional		$9.48	$10.59	$13.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $8.23	Professional		$7.11	$7.11	$8.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $13.04 / $20.97	Facility		$10.46	$13.04	$20.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $5.85 / $12.79	Professional		$5.85	$5.85	$12.79
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $7.47 / $7.47	Facility		$7.47	$7.47	$7.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $13.84	Professional		$9.48	$9.48	$13.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $12.44 / $16.00	Facility		$8.89	$12.44	$16.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.99 / $19.52	Professional		$7.70	$11.99	$19.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $12.20 / $44.26	Facility		$7.70	$12.20	$44.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.51 / $17.25	Professional		$5.94	$9.51	$17.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $20.55 / $83.54	Facility		$7.70	$20.55	$83.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $7.57 / $22.30	Professional		$2.23	$7.57	$22.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $9.77 / $14.22	Professional		$8.89	$9.77	$14.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.13 / $16.55	Professional		$4.98	$7.13	$16.55