Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $20.00	Facility		$12.49	$12.49	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.87	Professional		$12.49	$12.49	$12.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.16 / $24.25	Professional		$12.49	$14.16	$24.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $18.96	Facility		$12.49	$12.49	$18.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.86	Professional		$12.49	$12.49	$16.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $11.78 / $12.49	Facility		$11.78	$11.78	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.00	Professional		$12.49	$12.49	$15.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $17.68	Professional		$12.49	$12.49	$17.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $15.47 / $18.06	Professional		$12.49	$15.47	$18.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.96	Professional		$12.49	$12.49	$15.96