Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $6.93 / $6.93	Facility		$6.93	$6.93	$6.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.58 / $11.47	Professional		$7.00	$7.58	$11.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $8.77 / $10.02	Facility		$6.75	$8.77	$10.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
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 $16.44 / $16.44 / $460.00	Professional		$16.44	$16.44	$460.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $16.44 / $460.00	Professional		$16.44	$16.44	$460.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.25 / $10.91	Professional		$5.50	$8.25	$10.91