Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $56.94 / $127.42	Facility		$19.26	$56.94	$127.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.04 / $28.32	Professional		$12.76	$20.04	$28.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $14.45 / $16.72	Professional		$12.04	$14.45	$16.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $26.49 / $42.61	Facility		$21.26	$26.49	$42.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $34.11	Professional		$11.89	$11.89	$34.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Facility		$15.17	$15.17	$15.17
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $19.26	Professional		$16.86	$16.86	$19.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.28 / $32.51	Facility		$18.05	$25.28	$32.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $24.08 / $39.65	Professional		$15.65	$24.08	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $24.79 / $91.30	Facility		$15.65	$24.79	$91.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $19.32 / $35.04	Professional		$12.22	$19.32	$35.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $43.66 / $119.48	Facility		$16.12	$43.66	$119.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $15.65 / $50.40	Professional		$10.52	$15.65	$50.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.86 / $28.89	Professional		$18.05	$19.86	$28.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $38.84	Professional		$10.11	$14.45	$38.84