Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $40.19 / $124.20	Facility		$14.61	$40.19	$124.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $11.74 / $15.60	Professional		$10.44	$11.74	$15.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.06 / $9.06	Professional		$7.83	$9.06	$9.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $14.36 / $23.09	Facility		$11.52	$14.36	$23.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $14.09	Professional		$6.44	$6.44	$14.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.22 / $8.22	Facility		$8.22	$8.22	$8.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.44 / $15.25	Professional		$10.44	$10.44	$15.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $13.70 / $17.62	Facility		$10.48	$13.70	$17.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $13.05 / $21.50	Professional		$8.48	$13.05	$21.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $13.43 / $43.71	Facility		$8.48	$13.43	$43.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.47 / $19.00	Professional		$6.60	$10.47	$19.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $24.64 / $73.77	Facility		$8.73	$24.64	$73.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.06 / $24.72	Professional		$6.60	$10.06	$24.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.76 / $15.66	Professional		$9.78	$10.76	$15.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.83 / $18.23	Professional		$5.48	$7.83	$18.23