Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $33.63 / $115.65	Facility		$14.12	$33.63	$115.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.25 / $14.12	Professional		$8.69	$10.25	$14.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.18 / $8.18	Professional		$5.89	$8.18	$8.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $12.95 / $20.83	Facility		$10.39	$12.95	$20.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $12.71	Professional		$5.82	$5.82	$12.71
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Facility		$7.42	$7.42	$7.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $9.42	Professional		$9.42	$9.42	$9.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $12.36 / $15.89	Facility		$9.44	$12.36	$15.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.77 / $19.38	Professional		$7.65	$11.77	$19.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $12.12 / $34.50	Facility		$7.65	$12.12	$34.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.44 / $17.13	Professional		$5.94	$9.44	$17.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $14.84 / $48.68	Facility		$7.65	$14.84	$48.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $11.03 / $34.14	Professional		$5.94	$11.03	$34.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $9.71 / $14.12	Professional		$8.83	$9.71	$14.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $7.20 / $15.54	Professional		$4.94	$7.20	$15.54