Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $11.60 / $198.00	Facility		$6.70	$11.60	$198.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.05 / $12.65	Professional		$4.98	$7.05	$12.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $33.35 / $52.20	Facility		$20.88	$33.35	$52.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $15.08 / $22.25	Professional		$11.05	$15.08	$22.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $12.68	Facility		$9.35	$9.35	$12.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $6.74 / $8.21	Professional		$4.49	$6.74	$8.21