Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $33.42 / $153.56	Facility		$11.09	$33.42	$153.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $25.76 / $39.90	Professional		$9.64	$25.76	$39.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $13.26 / $21.32	Facility		$10.64	$13.26	$21.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $15.66	Professional		$7.36	$7.36	$15.66
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $12.78 / $18.39	Facility		$10.24	$12.78	$18.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.67 / $16.27	Professional		$10.24	$15.67	$16.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $16.42 / $25.37	Facility		$7.83	$16.42	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $11.36 / $17.04	Professional		$5.45	$11.36	$17.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $18.94 / $68.75	Facility		$7.83	$18.94	$68.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $6.64 / $14.72	Professional		$5.45	$6.64	$14.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.11 / $14.46	Professional		$9.03	$10.11	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $11.04 / $18.39	Professional		$6.63	$11.04	$18.39