Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $126.00	Facility		$3.78	$3.78	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $5.55	Professional		$3.78	$3.78	$5.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $5.46 / $8.77	Facility		$4.66	$5.46	$8.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.25 / $8.32	Professional		$4.40	$5.25	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $5.63 / $6.66	Facility		$4.70	$5.63	$6.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $5.38 / $5.38	Professional		$5.38	$5.38	$5.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Professional		$2.60	$2.60	$2.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $8.57	Professional		$2.60	$2.60	$8.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.33 / $7.03	Professional		$4.84	$5.33	$7.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $7.71 / $12.80	Professional		$2.10	$7.71	$12.80