Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $44.17 / $87.54	Facility		$16.09	$44.17	$87.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.26 / $22.12	Professional		$11.33	$13.26	$22.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $23.75	Professional		$9.19	$9.19	$23.75
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 / $12.26	Professional		$12.26	$12.26	$12.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $15.32 / $20.68	Facility		$10.45	$15.32	$20.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $19.92 / $20.68	Professional		$13.02	$19.92	$20.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $15.78 / $56.14	Facility		$9.96	$15.78	$56.14
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 $9.96 / $19.32 / $61.52	Facility		$9.96	$19.32	$61.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.30 / $28.97	Professional		$7.76	$12.30	$28.97
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 Facility Modifier Low / Median / High Price $9.96 / $15.32 / $15.32	Facility		$9.96	$15.32	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.22 / $24.71	Professional		$6.43	$9.22	$24.71