Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $39.00	Facility		$12.30	$12.30	$39.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $12.30 / $17.47	Professional		$11.67	$12.30	$17.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $18.89 / $19.89	Professional		$14.87	$18.89	$19.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $27.70 / $71.76	Facility		$23.64	$27.70	$71.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.03 / $32.72	Professional		$12.28	$14.03	$32.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $25.18 / $35.25	Facility		$18.89	$25.18	$35.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $25.18 / $53.92	Professional		$17.63	$25.18	$53.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $35.24	Facility		$16.29	$16.29	$35.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $20.94	Professional		$11.89	$11.89	$20.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.29 / $16.29	Professional		$11.89	$16.29	$16.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $14.69 / $19.26	Professional		$10.68	$14.69	$19.26
United Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $26.45 / $31.12	Facility		$26.45	$26.45	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $12.56 / $18.25	Professional		$8.38	$12.56	$18.25