Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $72.61 / $388.40	Facility		$30.18	$72.61	$388.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.93 / $35.60	Professional		$17.23	$17.93	$35.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $36.54	Professional		$14.14	$14.14	$36.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $25.93 / $41.71	Facility		$20.81	$25.93	$41.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $25.45	Professional		$9.77	$9.77	$25.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Facility		$14.85	$14.85	$14.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $24.75 / $31.82	Facility		$18.50	$24.75	$31.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $23.66 / $38.82	Professional		$15.32	$23.66	$38.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $24.27 / $62.99	Facility		$15.32	$24.27	$62.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.88 / $34.07	Professional		$10.73	$15.88	$34.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $37.04 / $126.16	Facility		$15.43	$37.04	$126.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $14.39 / $47.17	Professional		$9.43	$14.39	$47.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $19.44 / $28.28	Professional		$17.68	$19.44	$28.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.14 / $31.13	Professional		$9.90	$14.14	$31.13