Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $40.79 / $124.00	Facility		$11.30	$40.79	$124.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.71 / $11.98	Professional		$9.34	$10.71	$11.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.33 / $8.33	Professional		$5.99	$8.33	$8.33
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 / $40.18	Facility		$7.79	$12.34	$40.18
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 $7.79 / $15.35 / $53.28	Facility		$7.79	$15.35	$53.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $9.61 / $19.30	Professional		$7.33	$9.61	$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 Professional Modifier Low / Median / High Price $5.03 / $7.22 / $16.76	Professional		$5.03	$7.22	$16.76