Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $33.18 / $83.70	Facility		$16.59	$33.18	$83.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.87 / $25.40	Professional		$10.37	$10.87	$25.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $8.28 / $8.64	Professional		$7.46	$8.28	$8.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $15.20 / $24.46	Facility		$12.20	$15.20	$24.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $14.92	Professional		$5.92	$5.92	$14.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Professional		$11.06	$11.06	$11.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $14.51 / $18.66	Facility		$10.37	$14.51	$18.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $13.94 / $22.76	Professional		$8.98	$13.94	$22.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $14.22 / $29.10	Facility		$8.98	$14.22	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.61 / $20.13	Professional		$6.27	$9.61	$20.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $22.92 / $78.09	Facility		$8.98	$22.92	$78.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.63 / $23.33	Professional		$6.27	$9.63	$23.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $11.40 / $16.59	Professional		$10.37	$11.40	$16.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.28 / $18.10	Professional		$5.80	$8.28	$18.10