Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $67.50 / $365.49	Facility		$21.59	$67.50	$365.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $25.84 / $50.93	Professional		$20.62	$25.84	$50.93
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $89.52 / $89.52 / $89.52	Professional	CQ	$89.52	$89.52	$89.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $78.00 / $87.00	Facility		$50.40	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.93 / $45.06	Professional		$20.00	$24.93	$45.06
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Facility		$44.79	$44.79	$44.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $38.19 / $51.57	Facility		$34.72	$38.19	$51.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $41.72 / $78.37	Professional		$34.72	$41.72	$78.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $65.00 / $140.00	Facility		$43.84	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $54.94 / $113.94	Professional		$30.31	$54.94	$113.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $91.87 / $148.36	Facility		$48.84	$91.87	$148.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $45.14 / $67.27	Professional		$30.31	$45.14	$67.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $32.99 / $48.67	Professional		$25.04	$32.99	$48.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $33.75 / $46.23	Professional		$24.79	$33.75	$46.23