Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $42.54 / $163.51	Facility		$16.27	$42.54	$163.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.84 / $17.60	Professional		$9.64	$10.84	$17.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $13.26 / $21.32	Facility		$10.64	$13.26	$21.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $9.72	Professional		$5.95	$5.95	$9.72
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $12.05 / $16.27	Facility		$8.75	$12.05	$16.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.67 / $28.92	Professional		$10.24	$15.67	$28.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $12.40 / $50.48	Facility		$7.83	$12.40	$50.48
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 $7.88 / $21.90 / $96.60	Facility		$7.88	$21.90	$96.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.68 / $20.20	Professional		$6.11	$9.68	$20.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $6.63	Professional		$6.63	$6.63	$6.63
United Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.34 / $10.85	Facility		$4.34	$4.34	$10.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $17.50	Professional		$5.05	$7.23	$17.50