Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.61 / $4.91	Professional		$2.18	$2.61	$4.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $17.11 / $19.54	Facility		$14.35	$17.11	$19.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Professional		$13.82	$13.82	$13.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.45 / $22.99	Professional		$10.72	$17.45	$22.99