Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $48.59 / $99.80	Facility		$15.03	$48.59	$99.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.84 / $33.06	Professional		$12.02	$25.84	$33.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $10.44 / $10.44	Professional		$9.02	$10.44	$10.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $16.53 / $26.60	Facility		$13.27	$16.53	$26.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $16.23	Professional		$7.42	$7.42	$16.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Facility		$9.47	$9.47	$9.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $15.03 / $20.29	Facility		$12.07	$15.03	$20.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $19.54 / $20.29	Professional		$12.78	$19.54	$20.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.48 / $56.13	Facility		$9.77	$15.48	$56.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.06 / $21.88	Professional		$7.60	$12.06	$21.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.79 / $65.65	Facility		$9.77	$16.79	$65.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $11.86 / $25.20	Professional		$6.89	$11.86	$25.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $12.39 / $18.03	Professional		$11.27	$12.39	$18.03
United Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $18.04 / $18.04	Facility		$18.04	$18.04	$18.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.02 / $21.00	Professional		$6.31	$9.02	$21.00