Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $6.21 / $24.00	Facility		$6.21	$6.21	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $6.21 / $6.21	Professional		$0.73	$6.21	$6.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $2.93 / $4.54	Professional		$0.70	$2.93	$4.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.41	Professional		$4.21	$4.21	$4.41