Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $18.00	Facility		$7.50	$7.50	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.25 / $8.27	Professional		$4.40	$5.25	$8.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $8.77 / $10.02	Facility		$7.36	$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 Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $40.00	Professional		$5.50	$5.50	$40.00