Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $41.54 / $147.97	Facility		$14.89	$41.54	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.33 / $33.99	Professional		$11.03	$11.33	$33.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Professional		$8.27	$8.27	$8.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $15.17 / $24.40	Facility		$12.18	$15.17	$24.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $14.89	Professional		$6.17	$6.17	$14.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $13.79 / $18.62	Facility		$10.84	$13.79	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $17.93 / $18.62	Professional		$11.72	$17.93	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $14.19 / $80.34	Facility		$8.96	$14.19	$80.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $10.02 / $20.13	Professional		$6.27	$10.02	$20.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $14.43 / $92.93	Facility		$8.96	$14.43	$92.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.43 / $16.77	Professional		$6.27	$9.43	$16.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $11.37 / $16.54	Professional		$10.34	$11.37	$16.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.27 / $22.24	Professional		$5.79	$8.27	$22.24