Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $64.00 / $172.80	Facility		$13.29	$64.00	$172.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.56 / $14.65	Professional		$3.34	$9.56	$14.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.11 / $9.77	Professional		$5.86	$6.11	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $10.75 / $17.29	Facility		$8.63	$10.75	$17.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $10.55	Professional		$3.91	$3.91	$10.55
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $6.16 / $6.16	Facility		$6.16	$6.16	$6.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $7.82	Professional		$7.82	$7.82	$7.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $10.26 / $14.17	Facility		$7.33	$10.26	$14.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.77 / $16.09	Professional		$6.35	$9.77	$16.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $10.06 / $56.57	Facility		$6.35	$10.06	$56.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.88 / $16.63	Professional		$4.46	$7.88	$16.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $51.41 / $128.66	Facility		$13.65	$51.41	$128.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $5.82 / $16.48	Professional		$3.20	$5.82	$16.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $8.06 / $11.72	Professional		$7.33	$8.06	$11.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.98 / $15.76	Professional		$4.09	$5.98	$15.76