Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $37.97 / $125.19	Facility		$13.12	$37.97	$125.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $34.03 / $43.74	Professional		$12.86	$34.03	$43.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Professional		$11.16	$11.16	$11.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $17.68 / $28.44	Facility		$14.19	$17.68	$28.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $17.35	Professional		$7.94	$7.94	$17.35
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Facility		$10.11	$10.11	$10.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $16.87 / $21.69	Facility		$12.90	$16.87	$21.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $16.20 / $26.47	Professional		$10.45	$16.20	$26.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $16.55 / $60.90	Facility		$10.45	$16.55	$60.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.90 / $23.38	Professional		$8.09	$12.90	$23.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $16.55 / $91.75	Facility		$10.45	$16.55	$91.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.28 / $26.51	Professional		$8.32	$10.28	$26.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.25 / $19.28	Professional		$12.05	$13.25	$19.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $22.44	Professional		$6.75	$9.64	$22.44