Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $2.16	Facility		$2.16	$2.16	$2.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.08 / $1.65	Professional		$1.00	$1.08	$1.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $19.44	Facility		$16.20	$16.20	$19.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $20.25 / $21.06	Professional		$20.25	$20.25	$21.06
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 $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00