Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $43.76 / $90.00	Facility		$16.85	$43.76	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.05 / $18.54	Professional		$13.48	$15.05	$18.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.70 / $11.70	Professional		$10.11	$11.70	$11.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $18.54 / $29.82	Facility		$14.88	$18.54	$29.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $18.19	Professional		$8.32	$8.32	$18.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $13.48	Professional		$13.48	$13.48	$13.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $17.69 / $22.75	Facility		$12.89	$17.69	$22.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $16.85 / $27.76	Professional		$10.95	$16.85	$27.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $56.41	Facility		$10.95	$17.34	$56.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.52 / $24.52	Professional		$8.59	$13.52	$24.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $26.09 / $240.00	Facility		$11.02	$26.09	$240.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.55 / $26.83	Professional		$8.59	$13.55	$26.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $13.90 / $20.22	Professional		$12.64	$13.90	$20.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.11 / $23.54	Professional		$7.08	$10.11	$23.54