Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $52.29 / $138.88	Facility		$22.45	$52.29	$138.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $25.98 / $33.01	Professional		$14.51	$25.98	$33.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $12.10 / $12.60	Professional		$10.89	$12.10	$12.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $19.95 / $32.10	Facility		$16.02	$19.95	$32.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $19.59	Professional		$8.96	$8.96	$19.59
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $11.43 / $11.43	Facility		$11.43	$11.43	$11.43
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $16.05	Professional		$14.51	$14.51	$16.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $19.05 / $24.49	Facility		$14.56	$19.05	$24.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $18.14 / $29.88	Professional		$11.79	$18.14	$29.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $18.68 / $40.94	Facility		$11.79	$18.68	$40.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $14.56 / $26.41	Professional		$9.25	$14.56	$26.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $38.33 / $115.47	Facility		$12.30	$38.33	$115.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $11.11 / $29.28	Professional		$9.25	$11.11	$29.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $14.97 / $21.77	Professional		$13.61	$14.97	$21.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.88 / $21.77	Professional		$7.62	$10.88	$21.77