Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $27.42 / $101.32	Facility		$10.16	$27.42	$101.32
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $16.23 / $43.84 / $43.92	Facility	25	$16.23	$43.84	$43.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $14.04 / $23.43	Professional		$9.91	$14.04	$23.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.59 / $20.61 / $36.29	Professional	25	$13.59	$20.61	$36.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $13.44 / $20.04	Professional		$10.76	$13.44	$20.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $11.08 / $13.88 / $20.16	Professional	25	$11.08	$13.88	$20.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $13.85 / $21.01	Professional		$10.48	$13.85	$21.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $14.78 / $17.00	Professional		$14.78	$14.78	$17.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $12.91 / $16.62	Facility		$10.91	$12.91	$16.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.47 / $27.54	Professional		$13.44	$17.47	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $15.68 / $25.10	Professional		$11.49	$15.68	$25.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.13 / $25.00	Professional		$11.80	$16.13	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $8.49 / $11.00	Professional		$7.21	$8.49	$11.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $16.61 / $26.36	Professional		$11.72	$16.61	$26.36