Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $43.85 / $266.01	Facility		$17.39	$43.85	$266.01
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $82.17 / $109.08 / $345.46	Facility	CQ	$82.17	$109.08	$345.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.67 / $34.27	Professional		$14.40	$19.67	$34.27
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $45.64 / $45.64 / $48.58	Professional	CQ	$45.64	$45.64	$48.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $78.00 / $87.00	Facility		$39.38	$78.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $18.22 / $34.20	Professional		$14.47	$18.22	$34.20
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $19.29 / $35.54	Facility		$19.29	$19.29	$35.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $32.25 / $32.25	Professional		$22.05	$32.25	$32.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $30.32 / $40.93	Facility		$27.54	$30.32	$40.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $33.07 / $62.56	Professional		$27.56	$33.07	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $65.00 / $140.00	Facility		$33.11	$65.00	$140.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $39.26 / $108.10	Professional		$23.90	$39.26	$108.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.24 / $78.45 / $121.83	Facility		$41.24	$78.45	$121.83
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $34.90 / $50.01	Professional		$22.93	$34.90	$50.01
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Low / Median / High Price $20.19 / $20.19 / $21.28	Professional	CQ	$20.19	$20.19	$21.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $15.48 / $23.23	Professional		$15.48	$15.48	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $26.38 / $35.46	Professional		$19.37	$26.38	$35.46