Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $36.09 / $162.28	Facility		$12.22	$36.09	$162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.86 / $21.74	Professional		$8.69	$10.86	$21.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.19 / $18.57	Professional		$5.99	$7.19	$18.57
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 $5.67 / $6.86 / $9.27	Professional		$5.67	$6.86	$9.27
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 $8.99 / $12.58 / $16.17	Facility		$8.99	$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 / $44.77	Facility		$7.79	$12.34	$44.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $12.17 / $20.39	Professional		$6.11	$12.17	$20.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $39.65 / $128.81	Facility		$8.02	$39.65	$128.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.86 / $19.30	Professional		$6.11	$7.86	$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 / $7.19 / $16.76	Professional		$5.03	$7.19	$16.76