Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $49.07 / $78.39	Facility		$20.36	$49.07	$78.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.36 / $27.48	Professional		$10.34	$20.36	$27.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.91	Professional		$15.27	$15.27	$15.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $28.00 / $45.04	Facility		$22.47	$28.00	$45.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $10.18 / $25.45	Professional		$10.18	$10.18	$25.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $26.72 / $34.36	Facility		$21.63	$26.72	$34.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $25.61 / $41.91	Professional		$16.54	$25.61	$41.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $18.51 / $53.59	Facility		$16.05	$18.51	$53.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $22.38 / $36.65	Professional		$11.64	$22.38	$36.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $18.82 / $96.30	Facility		$13.91	$18.82	$96.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.52 / $45.14	Professional		$11.64	$14.52	$45.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $20.99 / $30.54	Professional		$19.09	$20.99	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $37.08	Professional		$10.69	$15.27	$37.08