Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $41.28 / $408.60	Facility		$18.00	$41.28	$408.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.86 / $38.50	Professional		$10.46	$12.86	$38.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.03 / $24.91	Professional		$9.64	$10.03	$24.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $17.68 / $28.44	Facility		$14.19	$17.68	$28.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $11.05	Professional		$6.43	$6.43	$11.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Facility		$10.11	$10.11	$10.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.87 / $21.69	Facility		$12.05	$16.87	$21.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $16.20 / $26.47	Professional		$10.45	$16.20	$26.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $16.55 / $40.44	Facility		$10.45	$16.55	$40.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.79 / $23.23	Professional		$7.43	$11.79	$23.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $18.44 / $62.06	Facility		$10.45	$18.44	$62.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.22 / $20.00	Professional		$7.43	$11.22	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.25 / $19.28	Professional		$12.05	$13.25	$19.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $19.28	Professional		$6.75	$9.64	$19.28