Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $26.63 / $139.50	Facility		$11.98	$26.63	$139.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.71 / $11.98	Professional		$9.58	$10.71	$11.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.33 / $18.57	Professional		$5.99	$8.33	$18.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $13.18 / $21.20	Facility		$10.58	$13.18	$21.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $12.93	Professional		$5.92	$5.92	$12.93
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $7.55 / $7.55	Facility		$7.55	$7.55	$7.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $12.58 / $16.17	Facility		$9.14	$12.58	$16.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.99 / $19.73	Professional		$7.79	$11.99	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $12.34 / $44.77	Facility		$7.79	$12.34	$44.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.61 / $17.45	Professional		$6.11	$9.61	$17.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $25.24 / $84.63	Facility		$8.02	$25.24	$84.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $7.69 / $19.30	Professional		$2.75	$7.69	$19.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $9.88 / $14.38	Professional		$8.99	$9.88	$14.38
United Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $10.78	Facility		$4.30	$4.30	$10.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.22 / $16.76	Professional		$5.03	$7.22	$16.76