Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $89.00 / $324.74	Facility		$20.81	$89.00	$324.74
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $49.20 / $107.64 / $343.80	Facility	CQ	$49.20	$107.64	$343.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $20.56 / $86.33	Professional		$14.30	$20.56	$86.33
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $46.18 / $46.18 / $46.18	Professional	CO	$46.18	$46.18	$46.18
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.84 / $37.35 / $46.38	Professional	CQ	$18.84	$37.35	$46.38
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.70 / $17.70 / $21.87	Professional	CQ	$17.70	$17.70	$21.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $77.00 / $87.00	Facility		$37.63	$77.00	$87.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $19.84 / $35.11	Professional		$15.33	$19.84	$35.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $33.58 / $33.58	Facility		$33.58	$33.58	$33.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $20.82 / $34.10	Professional		$18.22	$20.82	$34.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $28.63 / $38.65	Facility		$26.00	$28.63	$38.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $31.24 / $59.10	Professional		$26.03	$31.24	$59.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.46 / $65.00 / $140.00	Facility		$34.46	$65.00	$140.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $25.67 / $25.67 / $25.67	Facility	CQ	$25.67	$25.67	$25.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $40.04 / $111.17	Professional		$22.27	$40.04	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $82.50 / $132.13	Facility		$45.05	$82.50	$132.13
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Low / Median / High Price $25.67 / $25.67 / $25.67	Facility	CQ	$25.67	$25.67	$25.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $32.53 / $50.63	Professional		$19.44	$32.53	$50.63
Medical Mutual of Ohio Facility/Professional Professional Modifier CO Low / Median / High Price $29.29 / $29.29 / $29.29	Professional	CO	$29.29	$29.29	$29.29
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Low / Median / High Price $18.46 / $23.08 / $31.26	Professional	CQ	$18.46	$23.08	$31.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $16.51 / $24.76	Professional		$16.51	$16.51	$24.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $24.54 / $34.94	Professional		$19.21	$24.54	$34.94