Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $55.44 / $502.00	Facility		$14.15	$55.44	$502.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $13.35 / $313.44	Professional		$12.56	$13.35	$313.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $8.99 / $10.41	Professional		$7.50	$8.99	$10.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $16.48 / $26.53	Facility		$13.24	$16.48	$26.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.40 / $16.18	Professional		$7.40	$7.40	$16.18
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Facility		$9.44	$9.44	$9.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $17.51	Professional		$11.99	$11.99	$17.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $15.74 / $20.23	Facility		$12.03	$15.74	$20.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $14.99 / $24.68	Professional		$9.74	$14.99	$24.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $15.43 / $33.79	Facility		$9.74	$15.43	$33.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.03 / $21.81	Professional		$7.60	$12.03	$21.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $15.56 / $64.90	Facility		$3.95	$15.56	$64.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $9.74 / $24.37	Professional		$6.15	$9.74	$24.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $12.36 / $17.98	Professional		$11.24	$12.36	$17.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.19 / $20.95	Professional		$6.30	$9.19	$20.95