Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $17.68 / $21.52	Facility		$8.67	$17.68	$21.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.71 / $22.34	Professional		$7.76	$14.71	$22.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $16.18 / $16.18	Professional		$14.93	$16.18	$16.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $16.18 / $26.74	Professional		$9.17	$16.18	$26.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $16.18 / $16.18	Professional		$16.18	$16.18	$16.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.21 / $12.72	Facility		$8.51	$10.21	$12.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $21.03 / $26.65	Professional		$16.18	$21.03	$26.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
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 $14.73 / $20.61 / $36.47	Professional		$14.73	$20.61	$36.47