Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $36.40 / $192.84	Facility		$12.50	$36.40	$192.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $22.76 / $34.40	Professional		$10.59	$22.76	$34.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $14.56 / $23.43	Facility		$11.69	$14.56	$23.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $14.29	Professional		$6.54	$6.54	$14.29
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $8.34 / $8.34	Facility		$8.34	$8.34	$8.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $13.24 / $17.87	Facility		$10.63	$13.24	$17.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $17.21 / $17.87	Professional		$11.25	$17.21	$17.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.64 / $44.34	Facility		$8.61	$13.64	$44.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.62 / $19.27	Professional		$6.77	$10.62	$19.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $15.07 / $58.34	Facility		$8.61	$15.07	$58.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $10.39 / $24.72	Professional		$8.21	$10.39	$24.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $10.92 / $15.88	Professional		$9.93	$10.92	$15.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $15.89	Facility		$15.89	$15.89	$15.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $8.11 / $21.36	Professional		$5.56	$8.11	$21.36