Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $41.07 / $125.10	Facility		$14.02	$41.07	$125.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $12.84 / $14.38	Professional		$11.50	$12.84	$14.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.99 / $9.99	Professional		$7.19	$9.99	$9.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $15.82 / $25.45	Facility		$12.70	$15.82	$25.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $16.60	Professional		$7.10	$7.10	$16.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.06 / $9.06	Facility		$9.06	$9.06	$9.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $15.10 / $19.41	Facility		$10.79	$15.10	$19.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $14.38 / $23.68	Professional		$9.35	$14.38	$23.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.81 / $32.43	Facility		$9.35	$14.81	$32.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $13.46 / $20.93	Professional		$7.26	$13.46	$20.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $16.36 / $82.09	Facility		$9.35	$16.36	$82.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.26 / $27.15	Professional		$4.30	$7.26	$27.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $11.86 / $17.26	Professional		$10.79	$11.86	$17.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.65 / $23.19	Professional		$6.04	$8.65	$23.19