Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $25.00	Facility		$12.48	$12.48	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $13.26	Professional		$12.48	$12.48	$13.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $512.22	Professional		$12.48	$12.48	$512.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $14.94 / $15.51	Facility		$14.94	$14.94	$15.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $15.60	Professional		$13.26	$13.26	$15.60
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.61	Professional		$13.00	$13.00	$16.61