Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $22.86 / $67.69	Facility		$7.31	$22.86	$67.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $10.75 / $20.88	Professional		$7.31	$10.75	$20.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $78.00 / $87.00	Facility		$72.00	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $9.88 / $17.64	Professional		$7.84	$9.88	$17.64
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 $8.23 / $9.41 / $13.76	Professional		$8.23	$9.41	$13.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $12.94 / $17.46	Facility		$11.65	$12.94	$17.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.11 / $26.78	Professional		$11.76	$14.11	$26.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $65.00 / $140.00	Facility		$18.80	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $20.18 / $111.17	Professional		$11.31	$20.18	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $68.84 / $127.97	Facility		$43.55	$68.84	$127.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.74 / $26.33	Professional		$10.33	$15.74	$26.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.73 / $17.79	Professional		$10.06	$12.73	$17.79