Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $39.75 / $210.60	Facility		$12.96	$39.75	$210.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $9.73 / $15.59	Professional		$7.82	$9.73	$15.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $16.73	Professional		$6.48	$6.48	$16.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $11.88 / $19.11	Facility		$9.53	$11.88	$19.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $11.66	Professional		$5.34	$5.34	$11.66
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $6.80 / $6.80	Facility		$6.80	$6.80	$6.80
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Professional		$8.64	$8.64	$8.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $11.34 / $14.58	Facility		$8.24	$11.34	$14.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.80 / $17.79	Professional		$7.02	$10.80	$17.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $11.12 / $48.42	Facility		$7.02	$11.12	$48.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.67 / $15.72	Professional		$5.45	$8.67	$15.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.23 / $23.04 / $144.32	Facility		$7.23	$23.04	$144.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $7.02 / $20.36	Professional		$5.45	$7.02	$20.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.91 / $12.96	Professional		$8.10	$8.91	$12.96
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.48 / $15.10	Professional		$4.54	$6.48	$15.10