Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $49.10 / $156.43	Facility		$21.11	$49.10	$156.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $14.85 / $30.34	Professional		$13.62	$14.85	$30.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $11.83 / $26.40	Professional		$10.22	$11.83	$26.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $18.73 / $30.14	Facility		$15.04	$18.73	$30.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $13.34	Professional		$8.41	$8.41	$13.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $10.73	Facility		$10.73	$10.73	$10.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $13.62 / $19.89	Professional		$13.62	$13.62	$19.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $17.88 / $22.99	Facility		$12.77	$17.88	$22.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $17.18 / $28.05	Professional		$11.07	$17.18	$28.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $17.53 / $57.04	Facility		$11.07	$17.53	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $15.94 / $24.79	Professional		$8.59	$15.94	$24.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $38.40 / $119.43	Facility		$11.07	$38.40	$119.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $8.85 / $28.56	Professional		$3.97	$8.85	$28.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.04 / $20.43	Professional		$12.77	$14.04	$20.43
United Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $20.44 / $20.44	Facility		$20.44	$20.44	$20.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.22 / $25.86	Professional		$7.15	$10.22	$25.86