Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $38.79 / $94.50	Facility		$14.41	$38.79	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.60 / $15.46	Professional		$9.66	$11.60	$15.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $8.94 / $8.94	Professional		$7.73	$8.94	$8.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $14.17 / $22.79	Facility		$11.37	$14.17	$22.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $13.91	Professional		$6.36	$6.36	$13.91
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Facility		$8.11	$8.11	$8.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $15.05	Professional		$10.30	$10.30	$15.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $13.52 / $17.39	Facility		$10.34	$13.52	$17.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.97 / $21.21	Professional		$8.36	$12.97	$21.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $13.26 / $43.15	Facility		$8.36	$13.26	$43.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $10.34 / $18.75	Professional		$6.60	$10.34	$18.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $22.15 / $60.82	Facility		$9.63	$22.15	$60.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $10.03 / $27.37	Professional		$5.34	$10.03	$27.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $10.62 / $15.45	Professional		$9.66	$10.62	$15.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.73 / $18.00	Professional		$5.41	$7.73	$18.00