Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $91.03 / $136.63	Facility		$3.03	$91.03	$136.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $3.03	Professional		$1.71	$1.71	$3.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $4.00 / $11.12	Facility		$2.57	$4.00	$11.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.84 / $3.33	Professional		$1.71	$1.84	$3.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $2.91	Facility		$1.71	$1.71	$2.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.31	Professional		$1.71	$1.71	$2.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $1.71	Facility		$1.61	$1.61	$1.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $4.86	Professional		$1.71	$1.71	$4.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $6.63	Professional		$1.71	$1.71	$6.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.13 / $2.61	Professional		$1.88	$2.13	$2.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.40	Professional		$1.71	$1.71	$2.40