Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.98 / $4.17	Facility		$2.00	$3.98	$4.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.98	Professional		$2.00	$3.02	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.57 / $7.59	Professional		$3.98	$4.57	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.57 / $3.98	Professional		$1.74	$2.57	$3.98