Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $46.95 / $63.50	Facility		$15.65	$46.95	$63.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $17.60 / $35.20	Professional		$15.65	$17.60	$35.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.34 / $9.77	Professional		$7.34	$7.34	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $21.52 / $34.61	Facility		$17.27	$21.52	$34.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $21.12	Professional		$9.66	$9.66	$21.12
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.55 / $26.41	Facility		$12.30	$19.55	$26.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $25.43 / $26.41	Professional		$16.63	$25.43	$26.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $20.13 / $74.13	Facility		$12.71	$20.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.70 / $28.47	Professional		$9.91	$15.70	$28.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $20.13 / $86.40	Facility		$12.71	$20.13	$86.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $15.70 / $20.84	Professional		$9.63	$15.70	$20.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $17.60 / $24.20	Professional		$14.67	$17.60	$24.20
United Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $7.04 / $17.60	Facility		$7.04	$7.04	$17.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.74 / $29.22	Professional		$8.22	$11.74	$29.22