Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $8.31 / $77.00	Facility		$8.31	$8.31	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $8.31 / $9.81	Professional		$8.31	$8.31	$9.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $11.95 / $19.21	Facility		$10.19	$11.95	$19.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $12.09	Professional		$3.99	$3.99	$12.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $14.56	Facility		$12.32	$12.32	$14.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $8.02	Professional		$5.09	$5.09	$8.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $8.42 / $13.94	Professional		$3.72	$8.42	$13.94