Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $40.44 / $78.00	Facility		$16.85	$40.44	$78.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.95 / $24.32	Professional		$13.48	$13.95	$24.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Professional		$11.70	$11.70	$11.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $18.54 / $29.82	Facility		$14.88	$18.54	$29.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $8.32 / $18.19	Professional		$7.07	$8.32	$18.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $13.48	Professional		$13.48	$13.48	$13.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $16.85 / $22.75	Facility		$12.89	$16.85	$22.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $21.91 / $22.75	Professional		$14.32	$21.91	$22.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $108.43	Facility		$10.95	$17.34	$108.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.52 / $24.52	Professional		$8.59	$13.52	$24.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $108.43	Facility		$10.95	$17.34	$108.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.95 / $25.07	Professional		$8.59	$10.95	$25.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $13.90 / $20.22	Professional		$12.64	$13.90	$20.22
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $20.22 / $20.22	Facility		$20.22	$20.22	$20.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.31 / $24.55	Professional		$7.08	$10.31	$24.55