Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $12.26 / $42.00	Facility		$12.26	$12.26	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $12.26 / $16.54	Professional		$9.43	$12.26	$16.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $15.45	Professional		$14.16	$14.16	$15.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $25.10	Professional		$9.67	$9.67	$25.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $19.30 / $27.89	Facility		$14.48	$19.30	$27.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.30 / $41.35	Professional		$12.55	$19.30	$41.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $11.60 / $21.90	Facility		$9.99	$11.60	$21.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $14.33	Professional		$9.86	$9.86	$14.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.60 / $14.33	Facility		$11.16	$11.60	$14.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.60 / $14.33	Professional		$9.86	$11.60	$14.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $14.48 / $18.99	Professional		$10.53	$14.48	$18.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.07 / $12.34	Professional		$6.27	$9.07	$12.34