Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $52.16 / $118.36	Facility		$17.48	$52.16	$118.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $16.88 / $42.72	Professional		$15.48	$16.88	$42.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $13.45 / $13.45	Professional		$11.61	$13.45	$13.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $21.29 / $34.24	Facility		$17.09	$21.29	$34.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $20.89	Professional		$9.56	$9.56	$20.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Professional		$15.48	$15.48	$15.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $20.32 / $26.12	Facility		$15.53	$20.32	$26.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $19.45 / $31.87	Professional		$12.58	$19.45	$31.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $19.93 / $70.20	Facility		$12.58	$19.93	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.54 / $28.18	Professional		$9.91	$15.54	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $20.25 / $130.47	Facility		$12.58	$20.25	$130.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $12.14 / $31.57	Professional		$7.46	$12.14	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.96 / $23.21	Professional		$14.51	$15.96	$23.21
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.61 / $27.05	Professional		$8.13	$11.61	$27.05