Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $38.78 / $56.44	Facility		$13.58	$38.78	$56.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.95 / $25.61	Professional		$9.35	$12.95	$25.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $15.83 / $25.47	Facility		$12.71	$15.83	$25.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $15.54	Professional		$7.11	$7.11	$15.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Facility		$9.07	$9.07	$9.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $14.39 / $19.43	Facility		$11.55	$14.39	$19.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $18.71 / $19.43	Professional		$12.23	$18.71	$19.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.81 / $32.46	Facility		$9.35	$14.81	$32.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $11.55 / $20.95	Professional		$7.26	$11.55	$20.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.81 / $55.32	Facility		$9.35	$14.81	$55.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $13.47 / $41.95	Professional		$7.26	$13.47	$41.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $11.86 / $17.26	Professional		$10.79	$11.86	$17.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $20.11	Professional		$6.04	$8.63	$20.11