Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $36.90 / $136.00	Facility		$11.56	$36.90	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $10.91 / $12.65	Professional		$7.96	$10.91	$12.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.52 / $8.52	Professional		$8.51	$8.52	$8.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $13.48 / $21.68	Facility		$10.82	$13.48	$21.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $13.23	Professional		$6.05	$6.05	$13.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Facility		$7.72	$7.72	$7.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $12.25 / $16.54	Facility		$9.84	$12.25	$16.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $15.93 / $16.54	Professional		$10.41	$15.93	$16.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $12.61 / $46.46	Facility		$7.96	$12.61	$46.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.83 / $17.84	Professional		$6.27	$9.83	$17.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $12.61 / $47.23	Facility		$7.96	$12.61	$47.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.23 / $17.82	Professional		$6.27	$8.23	$17.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $10.10 / $14.70	Professional		$9.19	$10.10	$14.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.35 / $17.13	Professional		$5.15	$7.35	$17.13