Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $37.33 / $135.21	Facility		$14.11	$37.33	$135.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.65 / $16.19	Professional		$9.57	$11.65	$16.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $7.77 / $20.07	Professional		$6.48	$7.77	$20.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $14.25 / $22.92	Facility		$11.43	$14.25	$22.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $6.39 / $13.98	Professional		$6.39	$6.39	$13.98
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Facility		$8.16	$8.16	$8.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $13.60 / $17.48	Facility		$10.40	$13.60	$17.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.97 / $21.33	Professional		$8.42	$12.97	$21.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $13.34 / $29.20	Facility		$8.42	$13.34	$29.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.39 / $18.85	Professional		$6.60	$10.39	$18.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $21.42 / $87.14	Facility		$8.46	$21.42	$87.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $8.60 / $23.09	Professional		$3.96	$8.60	$23.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $10.68 / $15.53	Professional		$9.71	$10.68	$15.53
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.94 / $18.87	Professional		$5.44	$7.94	$18.87