Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $32.35 / $131.19	Facility		$12.00	$32.35	$131.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.81 / $21.78	Professional		$9.60	$10.81	$21.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $13.20 / $21.24	Facility		$10.60	$13.20	$21.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $12.96	Professional		$5.92	$5.92	$12.96
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Facility		$7.56	$7.56	$7.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $12.00 / $16.20	Facility		$9.63	$12.00	$16.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $15.60 / $16.20	Professional		$10.19	$15.60	$16.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $12.36 / $44.83	Facility		$7.80	$12.36	$44.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.63 / $17.46	Professional		$6.11	$9.63	$17.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $13.42 / $46.95	Facility		$7.80	$13.42	$46.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.64 / $19.89	Professional		$6.11	$9.64	$19.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.90 / $14.40	Professional		$9.00	$9.90	$14.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.20 / $16.78	Professional		$5.04	$7.20	$16.78