Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $41.48 / $70.78	Facility		$15.39	$41.48	$70.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $13.85 / $15.39	Professional		$12.31	$13.85	$15.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $10.69	Professional		$9.23	$9.23	$10.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $16.93 / $27.24	Facility		$13.59	$16.93	$27.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $16.62	Professional		$7.60	$7.60	$16.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $15.39 / $20.78	Facility		$11.74	$15.39	$20.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $20.01 / $20.78	Professional		$13.08	$20.01	$20.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.84 / $57.45	Facility		$10.00	$15.84	$57.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.35 / $22.40	Professional		$7.76	$12.35	$22.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.50 / $77.25	Facility		$10.00	$17.50	$77.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $11.33 / $29.09	Professional		$6.73	$11.33	$29.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $12.69 / $18.46	Professional		$11.54	$12.69	$18.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.23 / $24.82	Professional		$6.46	$9.23	$24.82