Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $35.00	Facility		$19.48	$19.48	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $20.05	Professional		$19.48	$19.48	$20.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $22.59 / $40.33	Professional		$19.48	$22.59	$40.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $29.41	Facility		$19.48	$19.48	$29.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $26.30	Professional		$19.48	$19.48	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $19.48	Facility		$18.38	$18.38	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $27.56	Professional		$19.48	$19.48	$27.56
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 $19.48 / $19.48 / $30.00	Professional		$19.48	$19.48	$30.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $24.35 / $28.24	Professional		$19.48	$24.35	$28.24
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $25.36	Professional		$19.48	$19.48	$25.36