Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $92.00	Facility		$21.25	$21.25	$92.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.84 / $30.13	Professional		$17.03	$21.84	$30.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $42.74 / $67.86	Facility		$36.01	$42.74	$67.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $20.11 / $50.30	Professional		$19.64	$20.11	$50.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $41.55 / $55.40	Facility		$29.68	$41.55	$55.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $41.55 / $84.73	Professional		$25.72	$41.55	$84.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $105.78	Facility		$25.17	$25.17	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $32.90	Professional		$21.39	$21.39	$32.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $105.78	Facility		$25.17	$25.17	$105.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $27.97	Professional		$21.39	$21.39	$27.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $18.86 / $27.94	Professional		$12.94	$18.86	$27.94