Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $32.46 / $122.00	Facility		$13.97	$32.46	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.05 / $20.49	Professional		$8.32	$10.05	$20.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $7.82 / $7.82	Professional		$5.63	$7.82	$7.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $12.39 / $19.93	Facility		$9.94	$12.39	$19.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $12.16	Professional		$5.56	$5.56	$12.16
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Facility		$7.09	$7.09	$7.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $11.82 / $15.20	Facility		$9.03	$11.82	$15.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $11.34 / $18.55	Professional		$7.32	$11.34	$18.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $11.59 / $30.21	Facility		$7.32	$11.59	$30.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.03 / $16.52	Professional		$5.78	$9.03	$16.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $19.02 / $75.92	Facility		$7.36	$19.02	$75.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $8.82 / $23.91	Professional		$5.16	$8.82	$23.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.29 / $13.52	Professional		$8.44	$9.29	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.76 / $15.73	Professional		$4.73	$6.76	$15.73