Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $56.11 / $180.00	Facility		$24.91	$56.11	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.87 / $35.00	Professional		$16.64	$18.87	$35.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.46 / $20.81	Professional		$12.49	$14.46	$20.81
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 / $46.96	Facility		$13.53	$21.43	$46.96
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 $13.34 / $26.04 / $103.34	Facility		$13.34	$26.04	$103.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $10.57 / $39.03	Professional		$4.16	$10.57	$39.03
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 / $27.48	Professional		$8.44	$12.49	$27.48