Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $44.72 / $139.10	Facility		$16.32	$44.72	$139.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.54 / $14.72	Professional		$8.94	$10.54	$14.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $18.73	Professional		$7.25	$7.25	$18.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.30 / $21.40	Facility		$10.68	$13.30	$21.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $5.97 / $13.05	Professional		$5.97	$5.97	$13.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Facility		$7.62	$7.62	$7.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $14.12	Professional		$9.67	$9.67	$14.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $12.69 / $16.32	Facility		$9.69	$12.69	$16.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $12.09 / $19.91	Professional		$7.86	$12.09	$19.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $12.45 / $27.27	Facility		$7.86	$12.45	$27.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.69 / $17.59	Professional		$6.11	$9.69	$17.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $34.39 / $133.38	Facility		$10.79	$34.39	$133.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.76 / $22.25	Professional		$5.13	$8.76	$22.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.97 / $14.51	Professional		$9.07	$9.97	$14.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $16.89	Professional		$5.08	$7.25	$16.89