Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $38.20 / $190.00	Facility		$13.25	$38.20	$190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.71 / $26.63	Professional		$8.61	$10.71	$26.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $8.33 / $8.33	Professional		$8.33	$8.33	$8.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $14.58 / $23.45	Facility		$11.70	$14.58	$23.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $14.31	Professional		$5.92	$5.92	$14.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $8.35 / $8.35	Facility		$8.35	$8.35	$8.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $13.25 / $17.89	Facility		$9.89	$13.25	$17.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $17.23 / $17.89	Professional		$11.26	$17.23	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.64 / $50.22	Facility		$8.61	$13.64	$50.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.61 / $19.10	Professional		$6.11	$9.61	$19.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $16.97 / $220.08	Facility		$8.61	$16.97	$220.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.02 / $16.09	Professional		$6.11	$8.02	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $10.98 / $15.98	Professional		$9.99	$10.98	$15.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.95 / $18.21	Professional		$5.57	$7.95	$18.21