Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $2.17 / $3.06	Facility		$0.80	$2.17	$3.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $2.22	Professional		$0.80	$0.80	$2.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.54 / $2.52	Facility		$0.90	$1.54	$2.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.07 / $1.75	Professional		$0.78	$1.07	$1.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $59,702.01	Facility		$0.85	$0.85	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Facility		$0.85	$0.85	$0.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.34	Professional		$0.85	$0.85	$1.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.34	Professional		$0.85	$0.85	$1.34