Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $26.00	Facility		$9.23	$9.23	$26.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $15.88	Professional		$9.23	$9.23	$15.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $14.17 / $14.17	Professional		$14.17	$14.17	$14.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $20.78 / $53.84	Facility		$17.73	$20.78	$53.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.06 / $24.93	Professional		$9.22	$11.06	$24.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $18.89 / $26.45	Facility		$14.17	$18.89	$26.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $18.89 / $40.45	Professional		$13.22	$18.89	$40.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $26.66	Facility		$14.44	$14.44	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $15.71	Professional		$10.54	$10.54	$15.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Facility		$14.44	$14.44	$14.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.44 / $14.44	Professional		$10.54	$14.44	$14.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $11.02 / $14.44	Professional		$8.01	$11.02	$14.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $9.43 / $14.52	Professional		$6.28	$9.43	$14.52