Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $50.61 / $87.70	Facility		$19.36	$50.61	$87.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $19.27 / $30.91	Professional		$17.13	$19.27	$30.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $12.85	Professional		$12.85	$12.85	$12.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $23.55 / $37.89	Facility		$18.91	$23.55	$37.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.57 / $23.12	Professional		$10.57	$10.57	$23.12
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $17.13	Professional		$17.13	$17.13	$17.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $21.41 / $28.90	Facility		$17.19	$21.41	$28.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.83 / $28.90	Professional		$18.20	$27.83	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $22.05 / $79.94	Facility		$13.92	$22.05	$79.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $17.18 / $31.16	Professional		$10.90	$17.18	$31.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $23.61 / $79.94	Facility		$13.92	$23.61	$79.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $17.25 / $59.00	Professional		$13.29	$17.25	$59.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.66 / $25.69	Professional		$16.05	$17.66	$25.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.85 / $29.92	Professional		$8.99	$12.85	$29.92