Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $40.65 / $87.42	Facility		$14.42	$40.65	$87.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.93 / $23.86	Professional		$10.59	$11.93	$23.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.19	Professional		$7.94	$7.94	$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 $2.49 / $3.18 / $7.94	Professional		$2.49	$3.18	$7.94
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 $9.27 / $9.27 / $10.59	Professional		$9.27	$9.27	$10.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $13.90 / $17.87	Facility		$10.39	$13.90	$17.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.29 / $21.81	Professional		$8.61	$13.29	$21.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.64 / $50.19	Facility		$8.61	$13.64	$50.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $12.39 / $20.84	Professional		$6.77	$12.39	$20.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $25.15 / $67.40	Facility		$8.65	$25.15	$67.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $6.77 / $28.13	Professional		$4.05	$6.77	$28.13
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 Professional Modifier Low / Median / High Price $5.56 / $7.94 / $18.97	Professional		$5.56	$7.94	$18.97