Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $53.90 / $84.24	Professional		$45.81	$53.90	$84.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $18.59 / $64.59	Facility		$12.66	$18.59	$64.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $18.30 / $60.29	Professional		$11.88	$18.30	$60.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $118.34	Facility		$50.00	$50.00	$118.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $96.29 / $120.36	Professional		$96.29	$96.29	$120.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $118.34 / $118.34 / $118.34	Facility		$118.34	$118.34	$118.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00