Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $59.40 / $405.90	Facility		$16.10	$59.40	$405.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.50 / $47.90	Professional		$9.64	$10.50	$47.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $8.36	Professional		$7.23	$7.23	$8.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $13.26 / $21.32	Facility		$10.64	$13.26	$21.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $19.28	Professional		$5.95	$5.95	$19.28
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $12.65 / $16.87	Facility		$9.44	$12.65	$16.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $15.67 / $30.39	Professional		$7.83	$15.67	$30.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.40 / $42.32	Facility		$7.83	$12.40	$42.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $16.92 / $37.29	Professional		$11.28	$16.92	$37.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $25.37 / $126.85	Facility		$7.88	$25.37	$126.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $13.26 / $34.96	Professional		$3.04	$13.26	$34.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $14.46 / $21.80	Professional		$9.03	$14.46	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.39 / $16.84	Professional		$5.05	$7.39	$16.84