Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $44.08 / $114.30	Facility		$19.57	$44.08	$114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $13.76 / $21.92	Professional		$12.23	$13.76	$21.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $10.62 / $23.70	Professional		$9.17	$10.62	$23.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $16.82 / $27.06	Facility		$13.50	$16.82	$27.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $16.51	Professional		$7.55	$7.55	$16.51
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $16.05	Professional		$12.23	$12.23	$16.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $16.05 / $20.64	Facility		$12.27	$16.05	$20.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $15.29 / $25.18	Professional		$9.94	$15.29	$25.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $15.74 / $34.51	Facility		$9.94	$15.74	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.27 / $22.26	Professional		$7.76	$12.27	$22.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $27.90 / $114.70	Facility		$10.00	$27.90	$114.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.63 / $27.96	Professional		$7.76	$10.63	$27.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $12.61 / $18.35	Professional		$11.47	$12.61	$18.35
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.17 / $20.88	Professional		$6.42	$9.17	$20.88