Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $149.34 / $182.29	Facility		$55.28	$149.34	$182.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,564.15 / $72,899.27 / $72,899.27	Facility		$7,564.15	$72,899.27	$72,899.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $174.83 / $292.58	Facility		$102.39	$174.83	$292.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $174.83 / $448.25	Facility		$102.39	$174.83	$448.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00