Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $44.90 / $103.89	Facility		$17.34	$44.90	$103.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $14.21 / $23.86	Professional		$11.77	$14.21	$23.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $12.19	Professional		$9.55	$9.55	$12.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $17.50 / $28.16	Facility		$14.05	$17.50	$28.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $17.18	Professional		$7.86	$7.86	$17.18
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Facility		$10.02	$10.02	$10.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $18.57	Professional		$12.73	$12.73	$18.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $16.71 / $21.48	Facility		$12.77	$16.71	$21.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $15.91 / $26.20	Professional		$10.34	$15.91	$26.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $16.38 / $35.88	Facility		$10.34	$16.38	$35.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.77 / $23.15	Professional		$8.09	$12.77	$23.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $25.57 / $107.25	Facility		$10.34	$25.57	$107.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $9.30 / $29.82	Professional		$5.30	$9.30	$29.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.12 / $19.08	Professional		$11.93	$13.12	$19.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.34 / $22.22	Professional		$6.68	$10.34	$22.22