Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $48.78 / $96.90	Facility		$16.26	$48.78	$96.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $17.71 / $18.80	Professional		$16.26	$17.71	$18.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Professional		$14.11	$14.11	$14.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $22.35 / $35.96	Facility		$17.94	$22.35	$35.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $21.94	Professional		$10.03	$10.03	$21.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Facility		$12.80	$12.80	$12.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $20.32 / $27.43	Facility		$16.30	$20.32	$27.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $26.42 / $27.43	Professional		$17.27	$26.42	$27.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $20.92 / $68.06	Facility		$13.21	$20.92	$68.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $16.30 / $29.58	Professional		$10.40	$16.30	$29.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $20.92 / $78.28	Facility		$13.21	$20.92	$78.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $14.62 / $27.43	Professional		$10.40	$14.62	$27.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $16.76 / $24.38	Professional		$15.24	$16.76	$24.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.19 / $28.39	Professional		$8.52	$12.19	$28.39