Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $46.98 / $162.00	Facility		$19.62	$46.98	$162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $13.89 / $27.78	Professional		$12.26	$13.89	$27.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $10.64	Professional		$9.19	$9.19	$10.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $16.85 / $27.11	Facility		$13.53	$16.85	$27.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $16.54	Professional		$7.57	$7.57	$16.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $9.65 / $9.65	Facility		$9.65	$9.65	$9.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.26 / $17.89	Professional		$12.26	$12.26	$17.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $16.09 / $20.68	Facility		$11.49	$16.09	$20.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $15.32 / $25.23	Professional		$9.96	$15.32	$25.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $15.78 / $57.24	Facility		$9.96	$15.78	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.30 / $22.31	Professional		$7.76	$12.30	$22.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $27.62 / $103.31	Facility		$10.02	$27.62	$103.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $9.77 / $25.69	Professional		$4.46	$9.77	$25.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $12.63 / $18.38	Professional		$11.49	$12.63	$18.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $11.35 / $20.23	Professional		$6.43	$11.35	$20.23