Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $23.00	Facility		$11.88	$11.88	$23.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $12.24	Professional		$11.88	$11.88	$12.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.54 / $23.06	Professional		$11.88	$13.54	$23.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $17.98	Facility		$11.88	$11.88	$17.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $16.04	Professional		$11.88	$11.88	$16.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $11.88	Facility		$11.21	$11.21	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.50	Professional		$11.88	$11.88	$13.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $85.00	Facility		$23.15	$23.15	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $16.82	Professional		$11.88	$11.88	$16.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.62 / $17.31	Professional		$11.88	$14.62	$17.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $14.74	Professional		$11.88	$11.88	$14.74