Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $30.23 / $118.80	Facility		$9.67	$30.23	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $10.78 / $21.00	Professional		$9.67	$10.78	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.56 / $7.56	Professional		$6.05	$7.56	$7.56
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 $4.84 / $4.84 / $12.09	Professional		$4.84	$4.84	$12.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Facility		$7.62	$7.62	$7.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $12.69 / $16.32	Facility		$10.28	$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 / $12.44 / $25.47	Facility		$7.86	$12.44	$25.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $10.62 / $17.04	Professional		$5.45	$10.62	$17.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $12.45 / $69.01	Facility		$7.86	$12.45	$69.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.29 / $14.72	Professional		$4.51	$6.29	$14.72
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 Facility Modifier Low / Median / High Price $4.34 / $4.34 / $10.88	Facility		$4.34	$4.34	$10.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $15.84	Professional		$5.08	$7.25	$15.84