Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $90.00	Facility		$3.00	$3.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.26 / $41.20	Professional		$23.00	$26.26	$41.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $29.40 / $33.58	Facility		$24.65	$29.40	$33.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $23.74	Professional		$23.74	$23.74	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $8.50	Professional		$8.50	$8.50	$8.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $8.50	Professional		$8.50	$8.50	$8.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $18.42 / $40.00	Professional		$18.42	$18.42	$40.00