Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $52.03 / $150.22	Facility		$21.48	$52.03	$150.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.14 / $31.21	Professional		$16.64	$18.14	$31.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.46 / $32.26	Professional		$12.49	$14.46	$32.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $22.89 / $36.83	Facility		$18.38	$22.89	$36.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $22.47	Professional		$10.28	$10.28	$22.47
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Facility		$13.11	$13.11	$13.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $21.85 / $28.09	Facility		$16.71	$21.85	$28.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $20.81 / $34.28	Professional		$13.53	$20.81	$34.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $21.43 / $47.88	Facility		$13.53	$21.43	$47.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $16.71 / $30.30	Professional		$10.57	$16.71	$30.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $26.66 / $99.61	Facility		$11.39	$26.66	$99.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $13.53 / $49.61	Professional		$3.80	$13.53	$49.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $17.17 / $24.97	Professional		$15.61	$17.17	$24.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.49 / $29.07	Professional		$8.44	$12.49	$29.07