Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $38.36 / $162.03	Facility		$17.93	$38.36	$162.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.98 / $77.50	Professional		$14.34	$15.98	$77.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Professional		$12.46	$12.46	$12.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $19.72 / $31.73	Facility		$15.83	$19.72	$31.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $19.36	Professional		$8.86	$8.86	$19.36
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Facility		$11.30	$11.30	$11.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $18.82 / $24.21	Facility		$14.05	$18.82	$24.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $17.93 / $29.53	Professional		$11.65	$17.93	$29.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $18.45 / $67.98	Facility		$11.65	$18.45	$67.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $11.65 / $26.11	Professional		$9.08	$11.65	$26.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $22.97 / $68.84	Facility		$11.65	$22.97	$68.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.36 / $27.28	Professional		$7.47	$9.36	$27.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.79 / $21.52	Professional		$13.45	$14.79	$21.52
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.76 / $23.49	Professional		$7.53	$10.76	$23.49