Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $45.00 / $155.69	Facility		$17.70	$45.00	$155.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.45 / $24.34	Professional		$10.55	$12.45	$24.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $8.56 / $9.91	Professional		$7.14	$8.56	$9.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $15.70 / $25.25	Facility		$12.60	$15.70	$25.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $7.53 / $10.50	Professional		$6.23	$7.53	$10.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $8.99 / $8.99	Facility		$8.99	$8.99	$8.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $15.39	Professional		$11.42	$11.42	$15.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $14.98 / $19.26	Facility		$11.20	$14.98	$19.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $14.27 / $23.50	Professional		$9.27	$14.27	$23.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $14.70 / $32.18	Facility		$9.27	$14.70	$32.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $13.36 / $20.76	Professional		$7.26	$13.36	$20.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $29.54 / $121.15	Facility		$11.75	$29.54	$121.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $9.10 / $26.66	Professional		$5.08	$9.10	$26.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $11.77 / $17.12	Professional		$10.70	$11.77	$17.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.56 / $18.85	Professional		$5.99	$8.56	$18.85