Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $51.36 / $124.45	Facility		$19.57	$51.36	$124.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.05 / $17.98	Professional		$11.69	$16.05	$17.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $12.48	Professional		$10.79	$10.79	$12.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $19.78 / $31.82	Facility		$15.88	$19.78	$31.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $8.88 / $18.82	Professional		$8.88	$8.88	$18.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $11.33 / $11.33	Facility		$11.33	$11.33	$11.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Professional		$14.38	$14.38	$14.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $18.88 / $24.27	Facility		$13.71	$18.88	$24.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $18.14 / $29.62	Professional		$11.69	$18.14	$29.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $18.52 / $40.56	Facility		$11.69	$18.52	$40.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $16.82 / $30.57	Professional		$9.08	$16.82	$30.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $22.68 / $70.19	Facility		$11.69	$22.68	$70.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $13.91 / $33.70	Professional		$7.19	$13.91	$33.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.83 / $21.58	Professional		$13.49	$14.83	$21.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.79 / $25.11	Professional		$7.55	$10.79	$25.11