Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $19.00	Facility		$4.88	$4.88	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $7.48	Professional		$4.88	$4.88	$7.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $7.05 / $11.34	Facility		$6.02	$7.05	$11.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $7.66 / $12.15	Professional		$6.13	$7.66	$12.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $6.89 / $8.59	Facility		$5.30	$6.89	$8.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.89 / $12.72	Professional		$5.30	$6.89	$12.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $2.89	Professional		$2.89	$2.89	$2.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $12.49	Professional		$2.89	$2.89	$12.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $8.36 / $11.02	Professional		$7.60	$8.36	$11.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $10.17 / $18.42	Professional		$2.87	$10.17	$18.42