Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $57.30 / $160.19	Facility		$19.20	$57.30	$160.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $26.60 / $28.10	Professional		$12.39	$26.60	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $10.76 / $10.76	Professional		$9.30	$10.76	$10.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $17.04 / $27.41	Facility		$13.68	$17.04	$27.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $16.72	Professional		$7.65	$7.65	$16.72
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $9.76 / $9.76	Facility		$9.76	$9.76	$9.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $12.39	Professional		$12.39	$12.39	$12.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $16.26 / $20.91	Facility		$12.43	$16.26	$20.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $15.55 / $25.51	Professional		$10.07	$15.55	$25.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $15.95 / $45.42	Facility		$10.07	$15.95	$45.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $12.43 / $22.55	Professional		$7.93	$12.43	$22.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $19.84 / $88.41	Facility		$10.07	$19.84	$88.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $8.15 / $32.90	Professional		$5.31	$8.15	$32.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $12.78 / $18.59	Professional		$11.62	$12.78	$18.59
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $10.07 / $21.64	Professional		$6.51	$10.07	$21.64