Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $68.51 / $192.88	Facility		$23.95	$68.51	$192.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $19.30 / $26.33	Professional		$10.22	$19.30	$26.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.59 / $29.93	Professional		$9.66	$11.59	$29.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $21.24 / $34.17	Facility		$17.05	$21.24	$34.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.40 / $25.40	Professional		$9.08	$9.40	$25.40
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $12.17 / $12.17	Facility		$12.17	$12.17	$12.17
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $13.52 / $15.45	Professional		$13.52	$13.52	$15.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $20.28 / $26.07	Facility		$14.48	$20.28	$26.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $25.10 / $31.80	Professional		$12.55	$25.10	$31.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $19.88 / $69.77	Facility		$12.55	$19.88	$69.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $26.78	Professional		$10.16	$10.16	$26.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $34.43 / $118.39	Facility		$10.07	$34.43	$118.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.81 / $34.50	Professional		$7.78	$11.81	$34.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.59 / $25.70	Professional		$8.11	$11.59	$25.70