Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $12.15 / $52.39	Facility		$6.94	$12.15	$52.39
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $49.82 / $100.51 / $653.07	Facility	CQ	$49.82	$100.51	$653.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $10.00 / $16.30	Professional		$6.94	$10.00	$16.30
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.86 / $7.86 / $15.23	Professional	CQ	$7.86	$7.86	$15.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $78.00 / $87.00	Facility		$20.37	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.83 / $18.23	Professional		$8.86	$10.83	$18.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $8.94 / $13.07	Professional		$7.82	$8.94	$13.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $12.29 / $16.59	Facility		$11.05	$12.29	$16.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $13.40 / $25.48	Professional		$11.17	$13.40	$25.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $65.00 / $140.00	Facility		$19.30	$65.00	$140.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $11.09 / $11.09 / $11.09	Facility	CQ	$11.09	$11.09	$11.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $14.74 / $30.14	Professional		$9.73	$14.74	$30.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $58.27 / $109.07	Facility		$22.09	$58.27	$109.07
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Low / Median / High Price $11.09 / $11.09 / $11.09	Facility	CQ	$11.09	$11.09	$11.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $15.63 / $30.87	Professional		$9.73	$15.63	$30.87
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Low / Median / High Price $8.13 / $15.45 / $15.70	Professional	CQ	$8.13	$15.45	$15.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $18.10	Professional		$12.06	$12.06	$18.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $11.37 / $18.37	Professional		$9.47	$11.37	$18.37