Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $6.92 / $6.92	Facility		$0.87	$6.92	$6.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $3,375.39	Professional		$0.50	$0.50	$3,375.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $1.04 / $1.63	Professional		$0.21	$1.04	$1.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $18.29	Facility		$15.24	$15.24	$18.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.80	Professional		$19.05	$19.05	$19.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Professional		$1.21	$1.21	$1.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Professional		$1.21	$1.21	$1.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00