Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $29.15 / $81.31	Facility		$8.31	$29.15	$81.31
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $72.00 / $85.23 / $155.10	Facility	CQ	$72.00	$85.23	$155.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.09 / $22.76	Professional		$7.85	$10.09	$22.76
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.86 / $173.65 / $173.65	Professional	CQ	$25.86	$173.65	$173.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $78.00 / $87.00	Facility		$17.44	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.77 / $16.64	Professional		$6.88	$8.77	$16.64
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $17.18 / $17.18	Facility		$17.18	$17.18	$17.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $10.66 / $15.58	Professional		$9.32	$10.66	$15.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $14.65 / $19.79	Facility		$13.21	$14.65	$19.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $15.98 / $30.32	Professional		$13.32	$15.98	$30.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $65.00 / $140.00	Facility		$16.00	$65.00	$140.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $19.07 / $111.17	Professional		$11.39	$19.07	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $65.00 / $124.83	Facility		$30.27	$65.00	$124.83
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $16.64 / $23.46	Professional		$10.54	$16.64	$23.46
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Low / Median / High Price $10.49 / $10.49 / $10.49	Professional	CQ	$10.49	$10.49	$10.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $14.61	Professional		$9.74	$9.74	$14.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $12.52 / $17.25	Professional		$8.69	$12.52	$17.25