Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $36.00	Facility		$13.93	$13.93	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $13.93 / $19.82	Professional		$13.03	$13.93	$19.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.39 / $21.39	Professional		$16.98	$21.39	$21.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $31.37 / $81.28	Facility		$26.78	$31.37	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.97 / $37.07	Professional		$13.91	$15.97	$37.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Professional		$24.24	$24.24	$24.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $28.52 / $39.71	Facility		$21.39	$28.52	$39.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $28.52 / $61.07	Professional		$19.96	$28.52	$61.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $38.77	Facility		$18.44	$18.44	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $23.56	Professional		$13.46	$13.46	$23.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $18.44	Professional		$13.46	$18.44	$18.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $16.62 / $21.79	Professional		$12.08	$16.62	$21.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $14.23 / $20.43	Professional		$9.48	$14.23	$20.43