Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $15.05	Facility		$12.86	$12.86	$15.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $13.25	Professional		$12.86	$12.86	$13.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $14.68 / $24.96	Professional		$12.86	$14.68	$24.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $19.45	Facility		$12.86	$12.86	$19.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $17.36	Professional		$12.86	$12.86	$17.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.86	Facility		$12.13	$12.13	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
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 $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $15.92 / $20.27	Professional		$12.86	$15.92	$20.27
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.73	Professional		$12.86	$12.86	$16.73