Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $15.24 / $67.23	Facility		$8.38	$15.24	$67.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $11.36 / $23.39	Professional		$8.38	$11.36	$23.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.34 / $28.34 / $28.34	Professional	CQ	$28.34	$28.34	$28.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $78.00 / $87.00	Facility		$19.34	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $10.79 / $19.38	Professional		$8.56	$10.79	$19.38
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $17.70 / $17.70	Facility		$17.70	$17.70	$17.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.98 / $16.05	Professional		$9.60	$10.98	$16.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $15.09 / $20.38	Facility		$13.61	$15.09	$20.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.46 / $31.39	Professional		$13.72	$16.46	$31.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $65.00 / $140.00	Facility		$18.80	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $21.83 / $111.17	Professional		$12.01	$21.83	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $65.98 / $108.02	Facility		$37.58	$65.98	$108.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $17.80 / $27.54	Professional		$11.68	$17.80	$27.54
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Low / Median / High Price $15.04 / $15.04 / $15.04	Professional	CQ	$15.04	$15.04	$15.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $19.56	Professional		$13.04	$13.04	$19.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $13.51 / $19.51	Professional		$10.86	$13.51	$19.51