Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $12.70 / $45.92	Facility		$6.94	$12.70	$45.92
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $87.60 / $89.30 / $121.26	Facility	CQ	$87.60	$89.30	$121.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.60 / $20.44	Professional		$6.94	$9.60	$20.44
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $16.35 / $26.46	Professional	CQ	$8.74	$16.35	$26.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $11.85 / $20.87	Professional		$9.99	$11.85	$20.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $14.11 / $16.46	Facility		$11.65	$14.11	$16.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.88 / $19.36	Professional		$12.94	$15.88	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $102.90	Professional		$11.31	$11.31	$102.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $72.00 / $138.41	Facility		$40.60	$72.00	$138.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $14.07 / $26.72	Professional		$9.68	$14.07	$26.72