Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $68.00	Facility		$19.86	$19.86	$68.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $19.86 / $27.01	Professional		$15.30	$19.86	$27.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $16.82 / $41.30	Professional		$15.69	$16.82	$41.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Professional		$31.29	$31.29	$31.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $31.29 / $42.24	Facility		$23.65	$31.29	$42.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $31.29 / $67.00	Professional		$20.49	$31.29	$67.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $18.95 / $36.95	Facility		$12.57	$18.95	$36.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $23.40	Professional		$16.11	$16.11	$23.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.95 / $18.95	Facility		$18.84	$18.95	$18.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $18.95 / $20.32	Professional		$16.11	$18.95	$20.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $23.52 / $30.84	Professional		$17.11	$23.52	$30.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.85 / $20.16	Professional		$10.07	$14.85	$20.16