Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $58.02 / $233.10	Facility		$24.67	$58.02	$233.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $19.47 / $27.78	Professional		$17.87	$19.47	$27.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $15.52 / $22.34	Professional		$11.17	$15.52	$22.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $16.96 / $27.29	Facility		$13.62	$16.96	$27.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $25.90	Professional		$11.04	$11.04	$25.90
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $14.07 / $14.07	Facility		$14.07	$14.07	$14.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Professional		$17.87	$17.87	$17.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $23.46 / $30.16	Facility		$16.76	$23.46	$30.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $29.04 / $48.79	Professional		$14.52	$29.04	$48.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $23.00 / $83.45	Facility		$14.52	$23.00	$83.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $23.96 / $50.02	Professional		$18.53	$23.96	$50.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $51.55 / $160.16	Facility		$18.91	$51.55	$160.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $18.53 / $40.56	Professional		$10.26	$18.53	$40.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $18.43 / $26.81	Professional		$9.22	$18.43	$26.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.70 / $36.39	Professional		$9.38	$13.70	$36.39