Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.20 / $36.00	Facility		$14.20	$14.20	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.20 / $19.16	Professional		$9.52	$14.20	$19.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $15.21	Professional		$15.21	$15.21	$15.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $29.38	Professional		$10.09	$10.09	$29.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $22.36 / $30.19	Facility		$16.77	$22.36	$30.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $22.36 / $47.88	Professional		$14.53	$22.36	$47.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $26.21	Facility		$9.66	$13.44	$26.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $16.53	Professional		$11.42	$11.42	$16.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $13.44	Facility		$9.66	$13.44	$13.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $13.44 / $13.84	Professional		$9.16	$13.44	$13.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.84 / $14.21	Professional		$7.88	$10.84	$14.21
United Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $8.77 / $14.24	Facility		$6.44	$8.77	$14.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $10.51 / $14.30	Professional		$7.01	$10.51	$14.30