Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $35.39 / $104.17	Facility		$12.38	$35.39	$104.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $12.62 / $13.14	Professional		$8.19	$12.62	$13.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $18.68	Professional		$7.23	$7.23	$18.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $13.26 / $21.32	Facility		$10.64	$13.26	$21.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $12.05	Professional		$4.82	$4.82	$12.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $12.65 / $16.27	Facility		$10.24	$12.65	$16.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $12.05 / $19.84	Professional		$7.83	$12.05	$19.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.39 / $25.37	Facility		$7.83	$12.39	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $10.62 / $17.04	Professional		$5.45	$10.62	$17.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.61 / $69.75	Facility		$7.83	$12.61	$69.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $6.50 / $41.02	Professional		$4.42	$6.50	$41.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $9.94 / $14.46	Professional		$9.03	$9.94	$14.46
United Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $15.79	Professional		$5.05	$7.23	$15.79