Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $41.64 / $70.20	Facility		$17.70	$41.64	$70.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $16.11 / $18.75	Professional		$15.00	$16.11	$18.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Professional		$13.02	$13.02	$13.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $20.63 / $33.18	Facility		$16.55	$20.63	$33.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $20.25	Professional		$9.26	$9.26	$20.25
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Facility		$11.81	$11.81	$11.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $18.75 / $25.31	Facility		$12.79	$18.75	$25.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $24.38 / $25.31	Professional		$15.94	$24.38	$25.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $19.30 / $62.81	Facility		$12.19	$19.30	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.05 / $27.29	Professional		$9.58	$15.05	$27.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $19.30 / $71.09	Facility		$12.19	$19.30	$71.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $15.05 / $25.19	Professional		$9.74	$15.05	$25.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $15.46 / $22.49	Professional		$14.06	$15.46	$22.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.50 / $30.24	Professional		$7.88	$11.50	$30.24