Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $51.24 / $100.80	Facility		$19.35	$51.24	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.42 / $34.58	Professional		$14.32	$17.42	$34.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $13.44	Professional		$11.61	$11.61	$13.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $21.29 / $34.24	Facility		$17.09	$21.29	$34.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $20.89	Professional		$9.56	$9.56	$20.89
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Facility		$12.19	$12.19	$12.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $15.48 / $22.61	Professional		$15.48	$15.48	$22.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $20.32 / $26.12	Facility		$15.53	$20.32	$26.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $19.45 / $31.87	Professional		$12.58	$19.45	$31.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $19.93 / $43.67	Facility		$12.58	$19.93	$43.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.54 / $28.18	Professional		$9.91	$15.54	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $20.82 / $74.22	Facility		$10.58	$20.82	$74.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $9.91 / $36.36	Professional		$5.20	$9.91	$36.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.96 / $23.21	Professional		$14.51	$15.96	$23.21
United Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $19.35 / $19.35	Facility		$9.68	$19.35	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.58 / $31.21	Professional		$8.13	$12.58	$31.21